Mrs Denise Michelle Clark, OTR CHT | |
12911 120th Ave Ne, Suite H 220, Kirkland, WA 98034-3027 | |
(425) 216-7075 | |
(425) 216-7094 |
Full Name | Mrs Denise Michelle Clark |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 33 Years |
Location | 12911 120th Ave Ne, Kirkland, 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 |
---|---|---|---|
1528198389 | NPI | - | NPPES |
7466CL | Other | WA | REGENCE |
126095 | Other | WA | L & I |
7680697 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT00001716 (Washington) | Secondary |
225XH1200X | Occupational Therapist - Hand | 9711000164 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Proliance Surgeons Inc Ps | 8527972900 | 358 |
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 | Proliance Surgeons Inc Ps |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023170313 PECOS PAC ID: 8527972900 Enrollment ID: O20031119000128 |
Provider Name | Seattle Hand Surgery Group Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033190889 PECOS PAC ID: 2365339637 Enrollment ID: O20040302000248 |
Mailing Address | Practice Location Address |
---|---|
Mrs Denise Michelle Clark, OTR CHT 805 Madison St, Suite 901, Seattle, WA 98104-1172 Ph: (206) 264-8100 | Mrs Denise Michelle Clark, OTR CHT 12911 120th Ave Ne, Suite H 220, Kirkland, WA 98034-3027 Ph: (425) 216-7075 |
Mrs. Deborah Ann Mazza, OTR/L, CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 12911 120th Ave Ne Ste H220, Kirkland, WA 98034 Phone: 425-823-4224 Fax: 425-820-8975 | |
Cynthia K Choi, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12629 116th Ave Ne, Kirkland, WA 98034 Phone: 425-947-0105 | |
Mr. Corbett Dean Mercer, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11800 Ne 128th St Ste 200, Kirkland, WA 98034 Phone: 425-899-3300 | |
Jodi Duquette, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12040 Ne 128th St # Ms 103, Kirkland, WA 98034 Phone: 206-498-0368 | |
Vicky Tovar, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 515 Kirkland Way, Kirkland, WA 98033 Phone: 425-827-7031 Fax: 425-827-0102 | |
Brian Lefavour, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1002 Lake St S, Kirkland, WA 98033 Phone: 425-307-4673 | |
Integrated Rehab Group Limited Partnership Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12911 120th Ave Ne, #f120, Kirkland, WA 98034 Phone: 425-823-1389 Fax: 425-820-3996 |