| Discoverymd, Bellevue | |
|
1800 112th Ave Ne Ste 150w Bellevue WA 98004-2993 | |
| (714) 828-1800 | |
| (714) 882-1186 |
| Full Name | Discoverymd, Bellevue |
|---|---|
| Speciality | Counselor |
| Location | 1800 112th Ave Ne Ste 150w, Bellevue, Washington |
| Authorized Official Name and Position | Magdalen Gustilo (DIRECTOR OF PAYER RELATIONS) |
| Authorized Official Contact | 7145687667 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Discoverymd, Bellevue 18401 Von Karman Ave Ste 500 Irvine CA 92612-8531 Ph: (714) 828-1800 | Discoverymd, Bellevue 1800 112th Ave Ne Ste 150w Bellevue WA 98004-2993 Ph: (714) 828-1800 |
| NPI Number | 1891860920 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 05/08/2023 |
| Certification Date | 05/08/2023 |
| Medicare PECOS PAC ID | 8921289778 |
|---|---|
| Medicare Enrollment ID | O20110225000859 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891860920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 17081600 (Washington) | Primary |
| Provider Name | Patrick Mathiasen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316962145 PECOS PAC ID: 4284627373 Enrollment ID: I20040405001603 |
| Provider Name | Eric G Schendel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093825879 PECOS PAC ID: 8224061643 Enrollment ID: I20050915001126 |
| Provider Name | Ronnie E Kaufman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659351286 PECOS PAC ID: 6507861226 Enrollment ID: I20061002000046 |
| Provider Name | Darla V Capetillo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639244866 PECOS PAC ID: 5597765610 Enrollment ID: I20070112000405 |
| Provider Name | Kevin A Zvilna |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598846776 PECOS PAC ID: 9335241330 Enrollment ID: I20070222000079 |
| Provider Name | John P Dolan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790843597 PECOS PAC ID: 5597826123 Enrollment ID: I20081202000047 |
| Provider Name | Annette L Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255713145 PECOS PAC ID: 2769797604 Enrollment ID: I20150820011740 |
| Provider Name | Power Capote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134578834 PECOS PAC ID: 1254616345 Enrollment ID: I20170403001475 |
| Provider Name | Ann L Carter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083167647 PECOS PAC ID: 2163709767 Enrollment ID: I20170509001835 |
| Provider Name | Arvinder Kaul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396792578 PECOS PAC ID: 4486680121 Enrollment ID: I20180615001143 |
| Provider Name | Faduma Abdirahman Haji Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073071437 PECOS PAC ID: 1658605126 Enrollment ID: I20190703001070 |
| Provider Name | Karen Elaine Krikorian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801235486 PECOS PAC ID: 8426380908 Enrollment ID: I20191102000270 |
| Provider Name | Janine A Gundel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790070464 PECOS PAC ID: 0143539486 Enrollment ID: I20200504002274 |
| Provider Name | Sandeep Shrestha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063767051 PECOS PAC ID: 7810290376 Enrollment ID: I20201229001622 |
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