Ms I Pan, APRN | |
24920 104th Ave Se, Kent, WA 98030-6443 | |
(425) 690-3544 | |
(425) 690-9444 |
Full Name | Ms I Pan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 24920 104th Ave Se, Kent, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922565795 | NPI | - | NPPES |
2124259 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | AP60940426 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Valley Medical Center | Renton, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Valley Medical Group-renton | 4183753965 | 424 |
Entity Name | Valley Medical Group-renton |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619209574 PECOS PAC ID: 4183753965 Enrollment ID: O20100604000113 |
Mailing Address | Practice Location Address |
---|---|
Ms I Pan, APRN 3600 Lind Ave Sw, Suite 100 Attn Credentialing, Renton, WA 98057-4970 Ph: (425) 690-2715 | Ms I Pan, APRN 24920 104th Ave Se, Kent, WA 98030-6443 Ph: (425) 690-3544 |
Jacquelyn Rose Murillo, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25742 104th Ave Se, Kent, WA 98030 Phone: 206-263-0540 | |
Cindy Kiefer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 403 E Meeker St, Kent, WA 98030 Phone: 253-852-2866 | |
Zainab Ali Gaal-weber, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25506 137th Ave Se, Kent, WA 98042 Phone: 425-345-0101 | |
Muqdasa Sadat, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24920 104th Ave Se, Kent, WA 98030 Phone: 425-690-3420 | |
Robert T Smithing, MSN ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 10024 Se 240th St, 201, Kent, WA 98031 Phone: 253-859-2273 Fax: 253-850-8894 | |
Ms. Barbara Ann Krzyzek, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 W James St, King County Correctional Facilities Regional Justice Ce, Kent, WA 98032 Phone: 206-205-2410 Fax: 206-205-2439 | |
Amanda Jane Holen, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 State Avenue North, Kent, WA 98031 Phone: 253-372-7866 |