Kyle Joseph Micon, | |
607 Se Everett Mall Way, Everett, WA 98208-3248 | |
(425) 265-7000 | |
Not Available |
Full Name | Kyle Joseph Micon |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 607 Se Everett Mall Way, Everett, 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 |
---|---|---|---|
1952827776 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | AP60763393 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Multicare Health System | 7719899897 | 1689 |
Entity Name | Multicare Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
---|---|
Kyle Joseph Micon, 14515 N Creek Dr Apt A307, Mill Creek, WA 98012-5767 Ph: (716) 799-3541 | Kyle Joseph Micon, 607 Se Everett Mall Way, Everett, WA 98208-3248 Ph: (425) 265-7000 |
Mr. Walter Akwo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10710 Evergreen Way Apt G207, Everett, WA 98204 Phone: 408-806-3840 | |
Catherine D Norton, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Pacific Ave Ste 501, Everett, WA 98201 Phone: 425-258-7550 | |
Doreen Yumang-ross, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4526 Federal Ave, Everett, WA 98203 Phone: 425-349-6200 | |
Desiree Ballesteros, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 130th St Se, Everett, WA 98208 Phone: 425-224-8200 | |
Morgan L Russell, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 Pacific Ave Ste 500, Everett, WA 98201 Phone: 425-339-5430 | |
Ms. Barbara Jean Scott, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1721 Hewitt Avenue, Suite 501, Everett, WA 98201 Phone: 425-258-9779 Fax: 425-258-5469 | |
Mrs. Laura Ann Perez, ARNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1728 W Marine View Dr Ste 109, Everett, WA 98201 Phone: 206-940-2301 Fax: 425-379-9587 |