Aileen Leslie Wedvik Arnp Pllc | |
4909 108th St Sw Lakewood WA 98499-3724 | |
(253) 581-3075 | |
(253) 581-3178 |
Full Name | Aileen Leslie Wedvik Arnp Pllc |
---|---|
Speciality | Clinic/Center |
Location | 4909 108th St Sw, Lakewood, Washington |
Authorized Official Name and Position | Aileen Wedvik (OWNER) |
Authorized Official Contact | 2535813075 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Aileen Leslie Wedvik Arnp Pllc 4909 108th St Sw Lakewood WA 98499-3724 Ph: (253) 581-3075 | Aileen Leslie Wedvik Arnp Pllc 4909 108th St Sw Lakewood WA 98499-3724 Ph: (253) 581-3075 |
NPI Number | 1013427004 |
---|---|
Provider Enumeration Date | 10/04/2017 |
Last Update Date | 10/04/2017 |
Medicare PECOS PAC ID | 0143587915 |
---|---|
Medicare Enrollment ID | O20171204000654 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013427004 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
261QP3300X | Clinic/center - Pain | (* (Not Available)) | Secondary |
Provider Name | Aileen L Wedvik |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346443413 PECOS PAC ID: 6901997972 Enrollment ID: I20070806000140 |
Lakewood Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10510 Gravelly Lake Dr Sw, Lakewood, WA 98499 Phone: 253-589-7030 Fax: 253-597-4556 | |
Physican Care Nw Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5920 100th St Sw Ste 31, Lakewood, WA 98499 Phone: 253-584-3023 Fax: 253-582-1222 | |
Washington Practice Management, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4901 108th St Sw, Lakewood, WA 98499 Phone: 253-984-7247 | |
Avalon Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9315 Gravelly Lake Dr Sw, Suite 103, Lakewood, WA 98499 Phone: 253-582-8486 Fax: 253-582-2644 | |
The Lakewood Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11311 Bridgeport Way Sw, Ste 100, Lakewood, WA 98499 Phone: 253-581-6688 Fax: 253-512-2894 | |
Lakes Family Medicine-lakewood Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5202 100th St Sw, Lakewood, WA 98499 Phone: 253-588-3670 Fax: 253-588-3703 |