| Jon Derik Mortensen, PAC | |
|
10510 Gravelly Lake Dr., Community Health Care - Lakewood Clinic, Lakewood, WA 98499 | |
| (253) 589-7030 | |
| (253) 589-7033 |
| Full Name | Jon Derik Mortensen |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 10510 Gravelly Lake Dr., Lakewood, 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 |
|---|---|---|---|
| 1407930456 | NPI | - | NPPES |
| 8469256 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA10005073 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Health Care | 1850201559 | 67 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon Derik Mortensen, PAC 1019 Pacific Ave Ste 300, Attn Hr, Tacoma, WA 98402-4488 Ph: (253) 722-1540 | Jon Derik Mortensen, PAC 10510 Gravelly Lake Dr., Community Health Care - Lakewood Clinic, Lakewood, WA 98499 Ph: (253) 589-7030 |
Marisol Salazar, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10510 Gravelly Lake Dr Sw, Lakewood, WA 98499 Phone: 253-597-4550 | |
Paul Bradley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11306 Bridgeport Way Sw, Ste D, Lakewood, WA 98499 Phone: 425-774-1538 | |
Mr. Phillip Darby, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9332 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-459-6065 | |
Mrs. Margaret Colleen Gram, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9600 Veterans Dr, Dept Of Veterans Affairs, Lakewood, WA 98493 Phone: 253-582-8440 | |
Claudia Araceli Holsen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9332 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-459-6065 | |
Christopher Thomas Spikes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7308 Bridgeport Way W, Suite 201, Lakewood, WA 98499 Phone: 253-582-7257 Fax: 253-582-1617 | |
Kesli Anne Dickens, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5920 100th St Sw Ste 26, Lakewood, WA 98499 Phone: 877-522-1275 |