| Leah A Jackson, | |
|
925 Seneca St, Seattle, WA 98101-2742 | |
| (206) 223-6600 | |
| Not Available |
| Full Name | Leah A Jackson |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 925 Seneca St, Seattle, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952026908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT60762053 (Washington) | Primary |
| 225X00000X | Occupational Therapist | OT21002099 (District Of Columbia) | Secondary |
| Provider Name | Virginia Mason Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1801851258 PECOS PAC ID: 9830002617 Enrollment ID: O20031107000383 |
| Provider Name | Kaiser Foundation Health Plan Of Washington |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Leah A Jackson, Po Box 741515, Los Angeles, CA 90074-1515 Ph: (206) 515-5811 | Leah A Jackson, 925 Seneca St, Seattle, WA 98101-2742 Ph: (206) 223-6600 |
Jaclyn Ann Subkoviak, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-341-0461 Fax: 206-515-5886 | |
Tamira Bass, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Seneca St, Seattle, WA 98104 Phone: 206-540-3705 | |
Ms. Mary Patricia Dodge, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1959 Ne Pacific St, Mailbox 356490, Seattle, WA 98195 Phone: 206-598-4830 | |
Demetrios Terezakis, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-744-6112 | |
Lisbeth Brucknr Lord, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3010 Ne 113th St, Seattle, WA 98125 Phone: 206-498-2532 | |
Elizabeth A. Reite, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 4010 Stone Way N, 300, Seattle, WA 98103 Phone: 206-949-9692 | |
Mr. David Emery Hall, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1660 S Columbian Way, Seattle, WA 98108 Phone: 206-277-1593 Fax: 206-768-5271 |