Callie Anne Reger, ARNP | |
533 S 336th St, Ste C, Federal Way, WA 98003-6329 | |
(253) 661-1700 | |
(253) 661-4565 |
Full Name | Callie Anne Reger |
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Gender | Female |
Speciality | Registered Nurse |
Location | 533 S 336th St, Federal Way, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538282165 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN00160978 (Washington) | Primary |
363L00000X | Nurse Practitioner | AP30007553 (Washington) | Secondary |
Entity Name | Vantage Radiology & Diagnostic Services, A Professional Services Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245230598 PECOS PAC ID: 8224937917 Enrollment ID: O20031231000620 |
Mailing Address | Practice Location Address |
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Callie Anne Reger, ARNP Po Box 26730, Federal Way, WA 98093-3730 Ph: (253) 661-1700 | Callie Anne Reger, ARNP 533 S 336th St, Ste C, Federal Way, WA 98003-6329 Ph: (253) 661-1700 |
Mohamed Coulibaly, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4038 Sw 327th Pl, Federal Way, WA 98023 Phone: 253-306-9296 | |
Robert Mason, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 34122 28th Ave Sw, Federal Way, WA 98023 Phone: 253-350-3104 | |
Mercy Curtis, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 33480 13th Pl S, Federal Way, WA 98003 Phone: 253-285-7101 | |
Ms. Ashia Monique Mitchell, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 33431 13th Pl South, Federal Way, WA 98003 Phone: 253-874-7637 Fax: 253-874-7635 | |
Nawaf Alfaouri, Registered Nurse Medicare: Medicare Enrolled Practice Location: 33431 13th Pl S, Federal Way, WA 98003 Phone: 253-874-7634 Fax: 253-874-7635 | |
Hoboung Song, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 32615 10th Pl Sw, Federal Way, WA 98023 Phone: 253-517-3387 Fax: 253-517-3387 | |
Margie Shin, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 33480 13th Pl S, Federal Way, WA 98003 Phone: 253-285-7101 |