Agestrong Mirabella Seattle is a
Clinic/center - Rehabilitation based in Seattle, Washington. Agestrong Mirabella Seattle is licensed to practice in * (Not Available) (license number ) and their current practice location is
116 Fairview Ave N, Seattle, Washington. It can be reached at their office (for appointments etc.) via phone at
(206) 254-1400.
NPI number for Agestrong Mirabella Seattle is 1801520069 and their current mailing address is 4560 Se International Way Ste 100, Milwaukie, Oregon. Agestrong Mirabella Seattle
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1801520069.
Healthcare Provider's Profile
| Full Name | Agestrong Mirabella Seattle |
|---|
| Type | Facility |
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| Speciality | Clinic/center - Rehabilitation |
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| Location | 116 Fairview Ave N, Seattle, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1801520069
- Provider Enumeration Date: 07/13/2022
- Last Update Date: 05/15/2023
Medical Identifiers
Medical identifiers for Agestrong Mirabella Seattle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801520069 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Agestrong Mirabella Seattle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Agestrong Mirabella Seattle
4560 Se International Way Ste 100,
Milwaukie, OR 97222-4628
Ph: (971) 206-5174 | Agestrong Mirabella Seattle
116 Fairview Ave N,
Seattle, WA 98109-5360
Ph: (206) 254-1400 |
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