| Associates In Family Medicine | |
|
3130 Ellis St Bellingham WA 98225-1904 | |
| (360) 734-4404 | |
| (360) 734-7409 |
| Full Name | Associates In Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 3130 Ellis St, Bellingham, Washington |
| Authorized Official Name and Position | Leslie V Ash (ADMINISTRATOR) |
| Authorized Official Contact | 3607344404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Associates In Family Medicine 3130 Ellis St Bellingham WA 98225-1904 Ph: (360) 734-4404 | Associates In Family Medicine 3130 Ellis St Bellingham WA 98225-1904 Ph: (360) 734-4404 |
| NPI Number | 1750456273 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 05/05/2017 |
| Medicare PECOS PAC ID | 6507754132 |
|---|---|
| Medicare Enrollment ID | O20040305001060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750456273 | NPI | - | NPPES |
| 7047038 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Washington) | Primary |
| 291U00000X | Clinical Medical Laboratory | 50D0699072 (Washington) | Secondary |
| Provider Name | Robin K Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538257506 PECOS PAC ID: 4486636883 Enrollment ID: I20040601000867 |
| Provider Name | Julie A Kahnamoui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497949457 PECOS PAC ID: 8123196870 Enrollment ID: I20081007000826 |
| Provider Name | Robert G Sperry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417045550 PECOS PAC ID: 9032241369 Enrollment ID: I20100721000769 |
| Provider Name | Milan Banjanin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316035355 PECOS PAC ID: 4688706914 Enrollment ID: I20100805000254 |
| Provider Name | Roger E Sharf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275621286 PECOS PAC ID: 6507998838 Enrollment ID: I20100805000277 |
| Provider Name | Brian M Patterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982792131 PECOS PAC ID: 3779615000 Enrollment ID: I20100816000552 |
| Provider Name | Julie K Terry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902004393 PECOS PAC ID: 2264651637 Enrollment ID: I20140917000477 |
| Provider Name | Renee Suzanne Burnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932298965 PECOS PAC ID: 2668783242 Enrollment ID: I20150623002852 |
| Provider Name | Heather Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952858813 PECOS PAC ID: 4082997739 Enrollment ID: I20170203001678 |
| Provider Name | Kerry Lynn Neil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366550139 PECOS PAC ID: 0941498638 Enrollment ID: I20170209000926 |
| Provider Name | Corinna N Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760963839 PECOS PAC ID: 2961742093 Enrollment ID: I20190327001133 |
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