Michele K Nelsen, MD | |
14410 Se Petrovitsky Rd Ste 104, Renton, WA 98058-8900 | |
(256) 903-4054 | |
(425) 690-9405 |
Full Name | Michele K Nelsen |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 29 Years |
Location | 14410 Se Petrovitsky Rd Ste 104, 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 |
---|---|---|---|
1093729873 | NPI | - | NPPES |
1042822 | Medicaid | WA | |
G8891361 | Other | WA | MEDICARE W VALLEY MEDICAL GROUP - RENTON |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VX0000X | Obstetrics & Gynecology - Obstetrics | MD00035357 (Washington) | Secondary |
207Q00000X | Family Medicine | MD00035357 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
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 K Nelsen, MD 3600 Lind Ave Sw, Ste 100 Attn Credentialing, Renton, WA 98057-4970 Ph: (425) 690-2715 | Michele K Nelsen, MD 14410 Se Petrovitsky Rd Ste 104, Renton, WA 98058-8900 Ph: (256) 903-4054 |
Dominique James Nguyen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3915 Talbot Rd S Ste 200, Renton, WA 98055 Phone: 425-690-3400 Fax: 425-690-0600 | |
Dr. Tory John Olsen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 S 43rd St, Renton, WA 98055 Phone: 425-656-4224 | |
Anna Eleanor Goebel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3901 Ne 4th St Ste 105, Renton, WA 98056 Phone: 425-690-3410 Fax: 425-690-9410 | |
Sumam Marion Abraham, Family Medicine Medicare: Medicare Enrolled Practice Location: 275 Bronson Way Ne, Renton, WA 98056 Phone: 425-235-2800 | |
John L. Bondi, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3915 Talbot Rd S, Ste 401, Renton, WA 98055 Phone: 425-656-4224 | |
Arkadiy B. Tkachev, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 S Carr Rd, Suite 100, Renton, WA 98055 Phone: 415-227-3700 | |
Daniel L Brelsford, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3901 Ne 4th St, Ste 105, Renton, WA 98056 Phone: 425-690-3410 Fax: 425-690-9410 |