Simon M Katumu, NP | |
220 15th Ave Se Ste C, Puyallup, WA 98372 | |
(253) 435-3400 | |
(253) 435-3444 |
Full Name | Simon M Katumu |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 220 15th Ave Se Ste C, Puyallup, 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 |
---|---|---|---|
1245662048 | NPI | - | NPPES |
P01260164 | Other | IL | RAILROAD MEDICARE IL |
P01260158 | Other | MO | RAILROAD MEDICARE MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2013013676 (Missouri) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP60978479 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Integrity Healthcare Pllc | 0547652315 | 2 |
Entity Name | Pacmed Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013061217 PECOS PAC ID: 2466350657 Enrollment ID: O20031226000033 |
Entity Name | Integrity Healthcare Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326708496 PECOS PAC ID: 0547652315 Enrollment ID: O20220128000918 |
Mailing Address | Practice Location Address |
---|---|
Simon M Katumu, NP 220 15th Ave Se Ste C, Puyallup, WA 98372-3797 Ph: (253) 435-3400 | Simon M Katumu, NP 220 15th Ave Se Ste C, Puyallup, WA 98372 Ph: (253) 435-3400 |
Melinda Moore, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6332 Summerwood Dr E, Puyallup, WA 98373 Phone: 253-228-9674 | |
Oscar Herrera, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 15th Ave Se, Puyallup, WA 98372 Phone: 253-697-8610 | |
Corene Kimberly Irvin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15508 80th Avenue Ct E, Puyallup, WA 98375 Phone: 785-630-0608 | |
Dr. Timothy C Wical Jr., BSN, DNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15406 Meridian E, Puyallup, WA 98375 Phone: 253-509-1777 Fax: 949-577-4515 | |
Jennifer D Anderson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 118 7th Ave Sw, Puyallup, WA 98371 Phone: 253-579-0067 | |
Christopher Charles Cramer, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1450 5th St Se Ste 4200, Puyallup, WA 98372 Phone: 253-697-3450 | |
Lisa Ann Oberlander, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 Phone: 253-848-8797 |