| Kim Jennifer Herzog, PAC | |
|
1001 N Broadway, Suite A-3, Everett, WA 98201-1586 | |
| (425) 317-0300 | |
| (425) 317-0303 |
| Full Name | Kim Jennifer Herzog |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1001 N Broadway, Everett, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467548685 | NPI | - | NPPES |
| 8384745 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA10004579 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Jennifer Herzog, PAC 909 N Broadway, Pbo, Everett, WA 98201-1409 Ph: (425) 317-0699 | Kim Jennifer Herzog, PAC 1001 N Broadway, Suite A-3, Everett, WA 98201-1586 Ph: (425) 317-0300 |
Mr. James Potocsnak, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2320 Rucker Ave, Everett, WA 98201 Phone: 425-259-5121 Fax: 425-252-1322 | |
Michael James Oliver, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3726 Broadway Ste 201, Everett, WA 98201 Phone: 425-317-9119 | |
Karen M Tooley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1330 Rockefeller Ave, Suite 400, Everett, WA 98201 Phone: 425-261-4950 | |
Mary E Mitchell, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3927 Rucker Ave, Everett, WA 98201 Phone: 425-339-5422 Fax: 425-303-3053 | |
Gary K. Baal, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1321 Colby Ave, Everett, WA 98201 Phone: 425-261-2000 | |
Travis B. Adelman, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 4201 Rucker Ave, Everett, WA 98203 Phone: 425-382-4000 | |
Ms. Jodi Stickler-ivie, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1321 Colby Ave, Everett, WA 98201 Phone: 425-261-2000 |