Michele A Despreaux, | |
4033 Talbot Rd S Ste 570, Renton, WA 98055-5700 | |
(425) 690-3489 | |
(425) 690-9089 |
Full Name | Michele A Despreaux |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 32 Years |
Location | 4033 Talbot Rd S Ste 570, Renton, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346326147 | NPI | - | NPPES |
G8964245 | Other | WA | MEDICARE W VALLEY MEDICAL GROUP - RENTON |
1346326147 | Medicaid | WA | |
0141160 | Other | WA | L&I |
4794 | Other | INTERNAL ID-MOTOR VEHICLE ID | |
1008278 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | MD00033813 (Washington) | Secondary |
207R00000X | Internal Medicine | MD00033813 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wesley Homes At Home, Llc | Des moines, WA | Home health agency |
Evergreenhealth Home Care | Kirkland, WA | Home health agency |
Providence Hospice Of Seattle | Seattle, WA | Hospice |
Valley Medical Center | Renton, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Valley Medical Group-renton | 4183753965 | 424 |
Entity Name | Valley Medical Group-renton |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619209574 PECOS PAC ID: 4183753965 Enrollment ID: O20100604000113 |
Mailing Address | Practice Location Address |
---|---|
Michele A Despreaux, 3600 Lind Ave Sw, Suite 100 Attn Credentialing, Renton, WA 98057-4970 Ph: (425) 690-2715 | Michele A Despreaux, 4033 Talbot Rd S Ste 570, Renton, WA 98055-5700 Ph: (425) 690-3489 |
Aaron Tzupeng Fang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 S 43rd St, Renton, WA 98055 Phone: 425-228-3440 | |
Tanya Rizzo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3915 Talbot Rd S, Ste 401, Renton, WA 98055 Phone: 425-656-4224 Fax: 425-656-5099 | |
Anna L Samson Stein, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 S 43rd St, Renton, WA 98055 Phone: 425-228-3440 | |
Dr. Frederick Park, M.D., PH.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4011 Talbot Rd S, Ste 500, Renton, WA 98055 Phone: 425-251-5110 Fax: 425-793-7380 | |
Dr. Ting-wei Yang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4011 Talbot Rd S Ste 500, Renton, WA 98055 Phone: 425-690-3482 Fax: 429-690-9082 | |
Dr. Allen Sy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 S 43rd St, Renton, WA 98055 Phone: 425-228-3440 Fax: 425-656-4214 | |
Brian Shawn Levy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 S 43rd St, Renton, WA 98055 Phone: 425-228-3440 |