Advanced Foot & Ankle Clinic Of Kent | |
10056 Se 240th St, Suite D, Kent, WA 98031-5126 | |
(206) 992-9914 | |
(206) 501-2102 |
Full Name | Advanced Foot & Ankle Clinic Of Kent |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 10056 Se 240th St, Kent, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902013428 | NPI | - | NPPES |
0211560 | Other | WA | L&I |
5981360001 | Other | WA | DMEPOS |
0211559 | Other | WA | L&I |
0211557 | Other | WA | L&I |
7133754 | Medicaid | WA | |
8458416 | Medicaid | WA | |
8458432 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Provider Name | Ilona Barlam |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1780794834 PECOS PAC ID: 1557371887 Enrollment ID: I20060502000210 |
Provider Name | Serge V Barlam |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1942310008 PECOS PAC ID: 9739199068 Enrollment ID: I20060502000228 |
Provider Name | Oleg Pisman |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1952433849 PECOS PAC ID: 1658472659 Enrollment ID: I20110906000738 |
Provider Name | Andrew Goodeill |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1013261684 PECOS PAC ID: 3476708991 Enrollment ID: I20130306000279 |
Provider Name | Theresa H T Nguyen |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1487959219 PECOS PAC ID: 4789815259 Enrollment ID: I20140326000926 |
Provider Name | Joyce Lee |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1851693519 PECOS PAC ID: 6608055835 Enrollment ID: I20160412002208 |
Provider Name | Simrit Kaur |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1942867221 PECOS PAC ID: 2860872454 Enrollment ID: I20220628003523 |
Mailing Address | Practice Location Address |
---|---|
Advanced Foot & Ankle Clinic Of Kent 4306 156th Ave Ne, Tt-261, Redmond, WA 98052-5304 Ph: (206) 992-9914 | Advanced Foot & Ankle Clinic Of Kent 10056 Se 240th St, Suite D, Kent, WA 98031-5126 Ph: (206) 992-9914 |
East Hill Foot And Ankle Clinic Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 24837 104th Ave Se, 101, Kent, WA 98030 Phone: 253-859-1112 Fax: 253-859-1190 | |
Dr. Heather L Salton, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 24920 104th Ave Se, Kent, WA 98030 Phone: 253-395-1985 Fax: 253-395-1956 | |
Dr. Andrew Singtiong Soo, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 26136 Pacific Hwy S, Kent, WA 98032 Phone: 253-941-0887 Fax: 253-941-4642 |