| Brian D Jaeger Md Ps Inc | |
|
8301 161st Ave Ne Ste 300 Redmond WA 98052-3858 | |
| (425) 885-3330 | |
| (425) 702-2474 |
| Full Name | Brian D Jaeger Md Ps Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8301 161st Ave Ne Ste 300, Redmond, Washington |
| Authorized Official Name and Position | Brian D Jaeger (PRESIDENT) |
| Authorized Official Contact | 4258853330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian D Jaeger Md Ps Inc 8301 161st Ave Ne Ste 300 Redmond WA 98052-3858 Ph: (425) 885-3330 | Brian D Jaeger Md Ps Inc 8301 161st Ave Ne Ste 300 Redmond WA 98052-3858 Ph: (425) 885-3330 |
| NPI Number | 1396915385 |
|---|---|
| Provider Enumeration Date | 03/05/2008 |
| Last Update Date | 03/05/2008 |
| Medicare PECOS PAC ID | 8628154408 |
|---|---|
| Medicare Enrollment ID | O20080319000130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396915385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | MD00046421 (Washington) | Primary |
| Provider Name | Brian Dean Jaeger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396832572 PECOS PAC ID: 4082790969 Enrollment ID: I20080319000117 |
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