| Peninsula Community Health Services | |
|
616 6th St Bremerton WA 98337-1420 | |
| (360) 377-3776 | |
| (360) 479-0038 |
| Full Name | Peninsula Community Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 616 6th St, Bremerton, Washington |
| Authorized Official Name and Position | Joel P Emery (CFO) |
| Authorized Official Contact | 3604756710 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Community Health Services Po Box 960 Bremerton WA 98337-0212 Ph: (360) 478-2366 | Peninsula Community Health Services 616 6th St Bremerton WA 98337-1420 Ph: (360) 377-3776 |
| NPI Number | 1982654182 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 04/10/2020 |
| Certification Date | 04/10/2020 |
| Medicare PECOS PAC ID | 9436044781 |
|---|---|
| Medicare Enrollment ID | O20040217000362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982654182 | NPI | - | NPPES |
| CF9820 | Other | RAILROAD MEDICARE | |
| 7069461 | Medicaid | WA |
| Provider Name | Regina B Bonnevie-rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982695128 PECOS PAC ID: 6507755972 Enrollment ID: I20040312001208 |
| Provider Name | Mandeep Singh Dhawan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760432488 PECOS PAC ID: 0840202065 Enrollment ID: I20060706000338 |
| Provider Name | Donnaville F Ortiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609991926 PECOS PAC ID: 8921106444 Enrollment ID: I20070607000204 |
| Provider Name | Donna L Poole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578670303 PECOS PAC ID: 8921107178 Enrollment ID: I20070628000395 |
| Provider Name | Cynthia L Greenlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740434547 PECOS PAC ID: 3577625300 Enrollment ID: I20090102000358 |
| Provider Name | William Barbour |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013994862 PECOS PAC ID: 3375678360 Enrollment ID: I20110524000685 |
| Provider Name | Zackary J Budiselic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063756989 PECOS PAC ID: 9436302601 Enrollment ID: I20130122000222 |
| Provider Name | Shannon L Bailey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265436687 PECOS PAC ID: 4587748876 Enrollment ID: I20131112002160 |
| Provider Name | Gouhar Y Khan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770590341 PECOS PAC ID: 7911961271 Enrollment ID: I20150401000136 |
| Provider Name | Margaret Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881050029 PECOS PAC ID: 2466750815 Enrollment ID: I20160418002267 |
| Provider Name | Linsey Jane Bullock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770939084 PECOS PAC ID: 7719278803 Enrollment ID: I20160621000828 |
| Provider Name | Kristoffer Alan Valenzuela |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659712842 PECOS PAC ID: 1254575913 Enrollment ID: I20160709000039 |
| Provider Name | Lauren Menard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245683705 PECOS PAC ID: 6800182841 Enrollment ID: I20160831000804 |
| Provider Name | Richard St Cyr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023014651 PECOS PAC ID: 8527018910 Enrollment ID: I20170104001207 |
| Provider Name | Brian Martyn Lear |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285054577 PECOS PAC ID: 3971729724 Enrollment ID: I20170710002728 |
| Provider Name | Adriana Taseva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821405762 PECOS PAC ID: 3173740438 Enrollment ID: I20170711002003 |
| Provider Name | Belinda Lear |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518387802 PECOS PAC ID: 3678799434 Enrollment ID: I20170728001860 |
| Provider Name | Geetha Narayani Fink |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982919437 PECOS PAC ID: 0840562294 Enrollment ID: I20170818001755 |
| Provider Name | Elizabeth C Zaroff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073033965 PECOS PAC ID: 1254606544 Enrollment ID: I20171012002917 |
| Provider Name | Prardhana Challapalli Burbano De Lara |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447578182 PECOS PAC ID: 1355649815 Enrollment ID: I20180828002266 |
| Provider Name | Lisa S Dropp |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1689834905 PECOS PAC ID: 2860700168 Enrollment ID: I20191105000595 |
| Provider Name | Dyanne Tappin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407062417 PECOS PAC ID: 1355533704 Enrollment ID: I20200428001385 |
| Provider Name | Matthew Dunham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891841490 PECOS PAC ID: 2163519216 Enrollment ID: I20200505000350 |
| Provider Name | Amy Vanblaricom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538248299 PECOS PAC ID: 4981859774 Enrollment ID: I20200505000396 |
| Provider Name | Emily Grace Magwire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255952701 PECOS PAC ID: 4880015940 Enrollment ID: I20200528002269 |
| Provider Name | Berhane Tesfahun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235754672 PECOS PAC ID: 6709200488 Enrollment ID: I20200728002731 |
| Provider Name | Jennifer Massara |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174597165 PECOS PAC ID: 6709882046 Enrollment ID: I20210301002749 |
| Provider Name | Charlene Corkery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487138004 PECOS PAC ID: 2062892078 Enrollment ID: I20220708000867 |
| Provider Name | Tanveer Johal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366894230 PECOS PAC ID: 1658668744 Enrollment ID: I20221014002189 |
| Provider Name | Danielle Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407585581 PECOS PAC ID: 2769851104 Enrollment ID: I20221207001663 |
| Provider Name | Anna Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194454934 PECOS PAC ID: 0345612214 Enrollment ID: I20230202003249 |
| Provider Name | Thomas L Toth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134203110 PECOS PAC ID: 1951582220 Enrollment ID: I20230410000871 |
| Provider Name | Michael Gareth Shrouf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366021818 PECOS PAC ID: 5597120147 Enrollment ID: I20230503002709 |
| Provider Name | Geeta Santoshi Tadepalli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396191698 PECOS PAC ID: 7012333685 Enrollment ID: I20230905003937 |
| Provider Name | Misty R Wright-genous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013517655 PECOS PAC ID: 5294183794 Enrollment ID: I20231121003889 |
| Provider Name | Katja Douwes-campos |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1780391318 PECOS PAC ID: 4183072473 Enrollment ID: I20231127003343 |
| Provider Name | Sunyeob Hong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568958296 PECOS PAC ID: 9537406087 Enrollment ID: I20231205002787 |
| Provider Name | Nicole E Gardiner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962129551 PECOS PAC ID: 2961851688 Enrollment ID: I20231206004033 |
| Provider Name | Karen Andrea Richard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245538834 PECOS PAC ID: 8820449275 Enrollment ID: I20240110000786 |
| Provider Name | Yelena Strickland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134652605 PECOS PAC ID: 8022469477 Enrollment ID: I20240110001097 |
| Provider Name | Bret M Kelly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033240445 PECOS PAC ID: 5890916613 Enrollment ID: I20240110003054 |
| Provider Name | Eve King-hill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649329814 PECOS PAC ID: 6103277520 Enrollment ID: I20240110003555 |
| Provider Name | Lisa M Cruz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831235613 PECOS PAC ID: 1951753441 Enrollment ID: I20240119003598 |
| Provider Name | Bergen S Starke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316418411 PECOS PAC ID: 5294188835 Enrollment ID: I20240130002744 |
| Provider Name | Brittany Sue Hurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720843212 PECOS PAC ID: 6305286832 Enrollment ID: I20240501003016 |
| Provider Name | Jon Froyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952646960 PECOS PAC ID: 5294965778 Enrollment ID: I20240516000200 |
Center For Child And Family Therapy Pc Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7500 Old Military Rd Ne Ste 103, Bremerton, WA 98311 Phone: 360-698-9258 Fax: 360-698-9296 | |
Kitsap Mental Health Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5455 Almira Dr Ne, Bremerton, WA 98311 Phone: 360-373-5031 | |
Kitsap Brain Injury Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2504 Ne Sheridan Rd, Bremerton, WA 98310 Phone: 360-362-3076 | |
Ccc Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 843 6th St Ste 220, Bremerton, WA 98337 Phone: 360-328-1233 | |
Green Roots Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 423 Pacific Ave, Bremerton, WA 98337 Phone: 360-471-2953 | |
Peninsula Community Health Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4841 Auto Center Way Ste 203, Bremerton, WA 98312 Phone: 360-377-3776 | |
Inlet Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7500 Old Military Rd Ne Ste 103, Bremerton, WA 98311 Phone: 360-698-9258 Fax: 360-698-9296 |