| |
3955 156th St Ne Marysville WA 98271-4831 | |
(844) 202-5555 | |
(360) 542-2254 |
Full Name | |
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Speciality | Psychiatry & Neurology |
Location | 3955 156th St Ne, Marysville, Washington |
Authorized Official Name and Position | Richard Allen Kresch (MANAGER) |
Authorized Official Contact | 2122435565 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3955 156th Street Ne Marysville WA 98271-4831 Ph: (360) 651-6400 | 3955 156th St Ne Marysville WA 98271-4831 Ph: (844) 202-5555 |
NPI Number | 1104338144 |
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Provider Enumeration Date | 10/31/2017 |
Last Update Date | 08/05/2021 |
Certification Date | 08/05/2021 |
Medicare PECOS PAC ID | 7416233549 |
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Medicare Enrollment ID | O20170606001548 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104338144 | NPI | - | NPPES |
Provider Name | Frank Rodell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598933830 PECOS PAC ID: 6305986530 Enrollment ID: I20170831000841 |
Provider Name | Hamayun N Ahmed |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1124046909 PECOS PAC ID: 2163578139 Enrollment ID: I20180911001220 |
Provider Name | Richard J Emodogo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205208527 PECOS PAC ID: 3779880281 Enrollment ID: I20201026002659 |
Provider Name | Lamin K Sanneh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144756636 PECOS PAC ID: 2961812102 Enrollment ID: I20201029001845 |
Provider Name | Jordan Allaina Falor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780279653 PECOS PAC ID: 9739596438 Enrollment ID: I20210324003256 |
Provider Name | Beatrice Towett Mkubwa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114698289 PECOS PAC ID: 1557750890 Enrollment ID: I20211108002338 |
Provider Name | Jasmine Avea Elia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952984510 PECOS PAC ID: 6709277338 Enrollment ID: I20211215001776 |
Provider Name | Janet Oladipo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053073114 PECOS PAC ID: 9032505177 Enrollment ID: I20220329002971 |
Provider Name | Justin Maduobi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437803855 PECOS PAC ID: 8527454727 Enrollment ID: I20220414001117 |
Provider Name | Teshome Shikesso |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124592357 PECOS PAC ID: 7214311760 Enrollment ID: I20220831003665 |
Provider Name | Tofik S Shkrea |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073248258 PECOS PAC ID: 1153797360 Enrollment ID: I20221012004091 |
Provider Name | Akindele E Kolade |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1922051846 PECOS PAC ID: 9335198183 Enrollment ID: I20221208002350 |
Provider Name | Christopher Afolabi Ajadi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467177410 PECOS PAC ID: 4284005604 Enrollment ID: I20230123002530 |
Provider Name | Raphael Y Mprah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013206838 PECOS PAC ID: 2062804818 Enrollment ID: I20230124003145 |
Provider Name | Rafael V Achacoso |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134835432 PECOS PAC ID: 3971978776 Enrollment ID: I20230410001243 |
Provider Name | Leulseged Gebrekidan Amare |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730802661 PECOS PAC ID: 0648637504 Enrollment ID: I20230607003280 |
Provider Name | Mustapha Jobarteh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033865191 PECOS PAC ID: 8224499561 Enrollment ID: I20230802002115 |
Provider Name | Martin Louis Apt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336839364 PECOS PAC ID: 2062874548 Enrollment ID: I20230815004175 |
Provider Name | Jessica Dawn Mcclain |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629756077 PECOS PAC ID: 6103288550 Enrollment ID: I20230816003013 |
Provider Name | Rochelle Rickman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457692634 PECOS PAC ID: 5294188454 Enrollment ID: I20240124003203 |
Provider Name | Rebecka S Maynard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407604887 PECOS PAC ID: 0749724441 Enrollment ID: I20240705002176 |
Provider Name | Mary Lee Linares |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013751593 PECOS PAC ID: 0840730941 Enrollment ID: I20240904001062 |
Provider Name | Michael Sun |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1619409497 PECOS PAC ID: 5496165359 Enrollment ID: I20240924002697 |
Provider Name | Henry E Tambe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700608221 PECOS PAC ID: 6800322876 Enrollment ID: I20241213001951 |
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