Terry J Mengert, | |
12040 Ne 128th St, Kirkland, WA 98034-3013 | |
(425) 899-1000 | |
Not Available |
Full Name | Terry J Mengert |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
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 |
---|---|---|---|
1922183730 | NPI | - | NPPES |
6434 | Other | INTERNAL ID-MOTOR VEHICLE ID | |
U32651 | Other | WA | REGENCE BLUESHIELD |
1032986 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD00023320 (Washington) | Secondary |
207P00000X | Emergency Medicine | MD00023320 (Washington) | Primary |
Entity Name | Evergreen Emergency Services Ps |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619912524 PECOS PAC ID: 4981694155 Enrollment ID: O20040518000743 |
Mailing Address | Practice Location Address |
---|---|
Terry J Mengert, 13223 Ne 131st Pl, Kirkland, WA 98034-3346 Ph: (425) 941-5723 | Terry J Mengert, 12040 Ne 128th St, Kirkland, WA 98034-3013 Ph: (425) 899-1000 |
Austin M Gross, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12040 Ne 128th St, Kirkland, WA 98034 Phone: 425-899-1711 | |
Dr. Wade W Webster, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12040 Ne 128th St, Kirkland, WA 98034 Phone: 425-899-1000 | |
Dr. Dominic Connolly, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12040 Ne 128th St, Kirkland, WA 98034 Phone: 425-899-1000 | |
Dr. Larisa A Kaukonen, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12040 Ne 128th St, Kirkland, WA 98034 Phone: 425-899-1000 | |
Dr. Chad M Bentsen, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12040 Ne 128th St, Kirkland, WA 98034 Phone: 425-899-1000 | |
Dr. Ronald Cole Dobson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8315 Ne Juanita Dr, Kirkland, WA 98034 Phone: 206-718-4072 Fax: 206-215-6599 | |
Dr. Adrian M Whorton, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12040 Ne 128th St, Kirkland, WA 98034 Phone: 425-899-1000 |