Benjamin Garfield Rae Iv, | |
22000 64th Ave W Ste 2f, Mountlake Terrace, WA 98043-2500 | |
(877) 522-1275 | |
Not Available |
Full Name | Benjamin Garfield Rae Iv |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 22000 64th Ave W Ste 2f, Mountlake Terrace, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770051229 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | AP60879306 (Washington) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | AP60879306 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ideal Telemedicine Services Llc | 2860726221 | 65 |
Ideal Option Pllc | 6709013105 | 107 |
Ideal Telemedicine Services Llc | 2860726221 | 65 |
Ideal Option Pllc | 6709013105 | 107 |
Ideal Telemedicine Services Llc | 2860726221 | 65 |
Ideal Option Pllc | 6709013105 | 107 |
Ideal Telemedicine Services Llc | 2860726221 | 65 |
Ideal Option Pllc | 6709013105 | 107 |
Entity Name | Ideal Option Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457788275 PECOS PAC ID: 6709013105 Enrollment ID: O20131210001184 |
Entity Name | Ideal Telemedicine Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346754868 PECOS PAC ID: 2860726221 Enrollment ID: O20190716002000 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Garfield Rae Iv, 1500 W Court St, Pasco, WA 99301-4057 Ph: (877) 522-1275 | Benjamin Garfield Rae Iv, 22000 64th Ave W Ste 2f, Mountlake Terrace, WA 98043-2500 Ph: (877) 522-1275 |
Mr. Etienne Clement Poufong, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 - Mountlake Terrace, Mountlake Terrace, WA 98043 Phone: 469-321-9543 | |
Christina Lynn Gelder, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6100 219th St Sw Ste 370, Mountlake Terrace, WA 98043 Phone: 888-777-1945 Fax: 805-413-9099 | |
Van Ngoc Tran, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6007 244th St Sw Ste B, Mountlake Terrace, WA 98043 Phone: 425-640-4830 | |
Allison Carole Cothern, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6505 216th St Sw Ste 100, Mountlake Terrace, WA 98043 Phone: 205-955-0203 | |
Dr. Iman M Yunis, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21907 64th Ave W Ste 200, Mountlake Terrace, WA 98043 Phone: 470-966-0299 | |
Mr. Chad Lawrence Jacobs, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21907 64th Ave W Ste 200, Mountlake Terrace, WA 98043 Phone: 317-695-8041 | |
Adam D Barnett, DOCTOR OF NURSING PR Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6505 216th St Sw Ste 100, Mountlake Terrace, WA 98043 Phone: 512-537-7308 |