| Luke Matthew Requa, PA-C | |
|
1717 S J St, Tacoma, WA 98405-4933 | |
| (253) 426-6341 | |
| (253) 426-6344 |
| Full Name | Luke Matthew Requa |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 1717 S J St, Tacoma, 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 |
|---|---|---|---|
| 1922192954 | NPI | - | NPPES |
| 0165977 | Other | WA | STATE L&I |
| 8373458 | Medicaid | WA | |
| P00048201 | Other | WA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA10004390 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Anthony Hospital | Gig harbor, WA | Hospital |
| Harrison Medical Center | Bremerton, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Franciscan Medical Group | 0547173866 | 1173 |
| Mailing Address | Practice Location Address |
|---|---|
| Luke Matthew Requa, PA-C 1717 S J St, Tacoma, WA 98405-4933 Ph: (253) 426-6341 | Luke Matthew Requa, PA-C 1717 S J St, Tacoma, WA 98405-4933 Ph: (253) 426-6341 |
Mr. Shi Chian Khor, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-7537 Fax: 253-403-4576 | |
Alexandra Cornwall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 | |
Mr. Christopher R Walsh, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 | |
Grant Alexander Yelliott Ii, PA C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1717 S J St, Tacoma, WA 98405 Phone: 253-426-6660 Fax: 253-426-6250 | |
Margaret Mary Fahy, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-0432 | |
Mr. Clay Randles, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-1110 | |
Mr. Sheldon Burdell Watson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Madigan Army Medical Center/okubo Clinic, 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-966-7546 |