Stephanie R Develle, MD | |
12040 Ne 128th St, Kirkland, WA 98034-3013 | |
(425) 899-4543 | |
Not Available |
Full Name | Stephanie R Develle |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 12040 Ne 128th St, Kirkland, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447321070 | NPI | - | NPPES |
8283145 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD00040046 (Washington) | Primary |
Entity Name | Swedish Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831139724 PECOS PAC ID: 9537072814 Enrollment ID: O20031112000189 |
Mailing Address | Practice Location Address |
---|---|
Stephanie R Develle, MD Po Box 50010, Seattle, WA 98105-1010 Ph: (206) 987-8450 | Stephanie R Develle, MD 12040 Ne 128th St, Kirkland, WA 98034-3013 Ph: (425) 899-4543 |
Pilin Chang, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13030 121st Way Ne, Suite #100, Kirkland, WA 98034 Phone: 425-814-5170 | |
Dr. Hiroko David, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13030 121st Way Ne, Suite #100, Kirkland, WA 98034 Phone: 425-814-5170 Fax: 425-823-5826 | |
Dr. Basma Raees, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 433 State St, Kirkland, WA 98033 Phone: 425-828-3626 | |
Rossana Cecilia Palomino, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13030 121st Way Ne, Suite #100, Kirkland, WA 98034 Phone: 425-814-5170 Fax: 425-823-5826 | |
Emily Dauner, CPNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13030 121st Way Ne, Suite #100, Kirkland, WA 98034 Phone: 425-814-5170 Fax: 425-636-8139 | |
Carol L Baer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13030 121st Way Ne, Suite #100, Kirkland, WA 98034 Phone: 425-814-5170 |