| Jennifer A Castelluccio, PAC | |
|
26458 Maple Valley Black Diamond Rd Se, Maple Valley, WA 98038 | |
| (425) 690-3460 | |
| (425) 690-9460 |
| Full Name | Jennifer A Castelluccio |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 26458 Maple Valley Black Diamond Rd Se, Maple Valley, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679561435 | NPI | - | NPPES |
| 1016090 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | OA10000132 (Washington) | Secondary |
| 363A00000X | Physician Assistant | OA10000132 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer A Castelluccio, PAC 3600 Lind Ave Sw, Suite 100 Attn Credentialing, Renton, WA 98057-4970 Ph: (425) 690-2715 | Jennifer A Castelluccio, PAC 26458 Maple Valley Black Diamond Rd Se, Maple Valley, WA 98038 Ph: (425) 690-3460 |
Aaron Von Krueger, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 26458 Maple Valley Black Diamond Rd Se, Maple Valley, WA 98038 Phone: 425-656-5577 Fax: 425-656-5595 | |
Lauren Kaltz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 22610 Se 240th St, Maple Valley, WA 98038 Phone: 425-690-3460 | |
Tao Liang, Physician Assistant Medicare: Medicare Enrolled Practice Location: 23745 225th Way Se Ste 201, Maple Valley, WA 98038 Phone: 888-674-5871 | |
Constance P Hood, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 24080 Se Kent Kangley Rd, Maple Valley, WA 98038 Phone: 253-372-7680 | |
Sarah Mun, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 26458 Maple Valley Black Diamond Rd Se, Maple Valley, WA 98038 Phone: 425-690-3465 Fax: 425-690-9465 | |
Alissa Guinto, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 23745 225th Way Se Ste 201, Maple Valley, WA 98038 Phone: 888-674-5871 |