Geoffrey Fong, ARNP | |
2719 E Madison St Ste 300, Seattle, WA 98112-4752 | |
(206) 669-4336 | |
Not Available |
Full Name | Geoffrey Fong |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 2719 E Madison St Ste 300, Seattle, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376885590 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN60627347 (Washington) | Secondary |
363L00000X | Nurse Practitioner | AP60627373 (Washington) | Primary |
Entity Name | The Center For Family & Lifespan Development |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508153859 PECOS PAC ID: 7214367069 Enrollment ID: O20200420001772 |
Entity Name | The Center For Psychological Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144694001 PECOS PAC ID: 4789008913 Enrollment ID: O20200721003754 |
Mailing Address | Practice Location Address |
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Geoffrey Fong, ARNP 33305 1st Way S Ste B203, Federal Way, WA 98003-6259 Ph: (253) 235-5956 | Geoffrey Fong, ARNP 2719 E Madison St Ste 300, Seattle, WA 98112-4752 Ph: (206) 669-4336 |
Mrs. Joanne Lynn Osetsky, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 17th Ave, Ste 110, Seattle, WA 98122 Phone: 206-320-3470 Fax: 206-320-3471 | |
Sandra K Walker, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-598-0502 Fax: 206-598-0516 | |
Ms. Jennifer Patano, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4800 Sand Point Way Ne, Ms O.7.720, Seattle, WA 98105 Phone: 206-987-8949 Fax: 206-987-8943 | |
Mrs. Dominique Michelle Well, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4715 42nd Ave Sw, Seattle, WA 98116 Phone: 206-265-3642 | |
Mrs. Susan L Holtzclaw, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4800 Sand Point Way Ne, Mailstop T-2108, Seattle, WA 98105 Phone: 206-987-5691 | |
Dr. Kaitlin Michelle Brasier, D.N.P., A.R.N.P., RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1525 4th Ave, Suite 300, Seattle, WA 98101 Phone: 206-838-6856 Fax: 206-838-3085 | |
Melissa Yen-ching Lo, DNP, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 825 Eastlake Ave E, Seattle, WA 98109 Phone: 206-861-3396 |