| Oversight Telemedicine Physicians - California Pc | |
|
9333 Martin Way East Ste 214 Olympia WA 98516-5969 | |
| (360) 539-8487 | |
| (360) 358-9944 |
| Full Name | Oversight Telemedicine Physicians - California Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9333 Martin Way East, Olympia, Washington |
| Authorized Official Name and Position | Joseph J Jares (CFO) |
| Authorized Official Contact | 3605398487 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oversight Telemedicine Physicians - California Pc 9333 Martin Way East Ste 214 Olympia WA 98516-5969 Ph: (360) 539-8487 | Oversight Telemedicine Physicians - California Pc 9333 Martin Way East Ste 214 Olympia WA 98516-5969 Ph: (360) 539-8487 |
| NPI Number | 1952035941 |
|---|---|
| Provider Enumeration Date | 07/14/2022 |
| Last Update Date | 07/14/2022 |
| Certification Date | 07/14/2022 |
| Medicare PECOS PAC ID | 4183091531 |
|---|---|
| Medicare Enrollment ID | O20221027003157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952035941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Joseph J Jares |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194714469 PECOS PAC ID: 5294809828 Enrollment ID: I20221114000848 |
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