| Charles J Davis, PA-C | |
|
14410 Se Petrovitsky Rd Ste 104, Renton, WA 98058-8900 | |
| (425) 690-3405 | |
| (425) 690-9405 |
| Full Name | Charles J Davis |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 14410 Se Petrovitsky Rd Ste 104, Renton, 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 |
|---|---|---|---|
| 1962422956 | NPI | - | NPPES |
| G8971468 | Other | WA | MEDICARE W VALLEY MEDICAL GROUP - RENTON |
| 1023188 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA10004461 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Valley Medical Center | Renton, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valley Medical Group-renton | 4183753965 | 424 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles J Davis, PA-C 3600 Lind Ave Sw, Suite 100 Attn Credentialing, Renton, WA 98057-4970 Ph: (425) 690-2715 | Charles J Davis, PA-C 14410 Se Petrovitsky Rd Ste 104, Renton, WA 98058-8900 Ph: (425) 690-3405 |
Austin G Hogland, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 660 Sw 39th St, Suite 150, Renton, WA 98057 Phone: 425-793-4700 Fax: 425-251-4302 | |
Francisco Barrera, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1412 Sw 43rd St Ste 140, Renton, WA 98057 Phone: 425-264-0750 | |
Ms. Allison J Warmington, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4033 Talbot Rd S, Suite 530, Renton, WA 98055 Phone: 425-228-6076 Fax: 425-226-5224 | |
Chad Carson Moloney, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4011 Talbot Rd S, Suite 300, Renton, WA 98055 Phone: 425-656-5060 Fax: 425-656-5047 | |
Joy L Smith, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4011 Talbot Rd S Ste 300, Renton, WA 98055 Phone: 425-656-5060 Fax: 425-656-5047 | |
Mrs. Christina Michelle Jander, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4011 Talbot Rd S, Suite 300, Renton, WA 98055 Phone: 425-656-5060 Fax: 425-656-5047 | |
Michael A. Erickson, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 275 Bronson Way Ne, Renton, WA 98056 Phone: 425-235-2800 |