Thomas W Pendergrass, MD, MSPH | |
4800 Sand Point Way Ne, Seattle, WA 98105 | |
(206) 987-2106 | |
(206) 987-5105 |
Full Name | Thomas W Pendergrass |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Hematology-oncology |
Location | 4800 Sand Point Way Ne, Seattle, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124109483 | NPI | - | NPPES |
0826 | Other | INTERNAL ID-MOTOR VEHICLE ID | |
8362105 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD00014612 (Washington) | Secondary |
2080P0207X | Pediatrics - Pediatric Hematology-oncology | MD00014612 (Washington) | Primary |
Entity Name | The Association Of Chrmc And University Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255449963 PECOS PAC ID: 9133032964 Enrollment ID: O20031107000585 |
Mailing Address | Practice Location Address |
---|---|
Thomas W Pendergrass, MD, MSPH Po Box 5371, 4800 Sand Point Way Ne, Seattle, WA 98145-5005 Ph: (206) 987-2106 | Thomas W Pendergrass, MD, MSPH 4800 Sand Point Way Ne, Seattle, WA 98105 Ph: (206) 987-2106 |
Dr. James Toliver Bennett Jr., M.D., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4800 Sand Point Way Ne, Genetic Medicine, Seattle, WA 98105 Phone: 206-987-2056 | |
Dr. Leslie Ann Dervan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4800 Sand Point Way Ne, Mb.10.620, Seattle, WA 98105 Phone: 206-987-0293 | |
Dr. Indi Trehan, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4800 Sand Point Way Ne, Seattle, WA 98105 Phone: 206-987-2000 | |
Isabelle Maria Kiefaber, Pediatrics Medicare: Medicare Enrolled Practice Location: 4800 Sand Point Way Ne # Oc.7830, Seattle, WA 98105 Phone: 206-987-2525 | |
Alexa Mason, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2671 Ne 46th St, Seattle, WA 98105 Phone: 206-525-8000 Fax: 206-525-8070 | |
Dr. Gloria A. Arand, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 125 16th Ave E, Seattle, WA 98112 Phone: 206-326-3530 | |
Marcella Theresia Mascher Denen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1959 Ne Pacific St, C212, Box 356340, Seattle, WA 98195 Phone: 206-543-0065 |