Edward H Ebert, PMHNP | |
15455 65th Ave S, Tukwila, WA 98188 | |
(360) 353-9494 | |
(360) 353-9440 |
Full Name | Edward H Ebert |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 15455 65th Ave S, Tukwila, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467690693 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP60499640 (Washington) | Primary |
Entity Name | Telecare Mental Health Services Of Washington, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780913657 PECOS PAC ID: 5698804409 Enrollment ID: O20100603000217 |
Entity Name | Vest Seattle Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104338144 PECOS PAC ID: 7416233549 Enrollment ID: O20170606001548 |
Entity Name | Vest Thurston Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336605849 PECOS PAC ID: 0648512459 Enrollment ID: O20190701002488 |
Mailing Address | Practice Location Address |
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Edward H Ebert, PMHNP Po Box 2429, Longview, WA 98632-8486 Ph: (360) 353-9494 | Edward H Ebert, PMHNP 15455 65th Ave S, Tukwila, WA 98188 Ph: (360) 353-9494 |
Ms. Jennifer T Hardgrove, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6450 Southcenter Blvd Ste 102, Tukwila, WA 98188 Phone: 206-466-5410 Fax: 206-721-1287 | |
Lauren Buckham, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13030 Military Rd S Ste 200, Tukwila, WA 98168 Phone: 206-439-3289 | |
Dr. Tofik Sergaga Shkrea, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12844 Military Rd S, Tukwila, WA 98168 Phone: 206-372-3784 | |
Cindy Bello-utu, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7100 Fort Dent Way Ste 220, Tukwila, WA 98188 Phone: 425-640-7009 Fax: 425-640-9600 | |
Diane E Walker, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13030 Military Rd S, Suite # 210, Tukwila, WA 98168 Phone: 206-242-6500 Fax: 206-246-7946 | |
Mr. Charles Allen Wiley, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12400 E Marginal Way S, Tukwila, WA 98168 Phone: 206-901-8801 | |
Gemy George, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12844 Military Rd S, Tukwila, WA 98168 Phone: 425-586-0941 |