| Ballard Neighborhood Doctors Pllc | |
|
5416 Barnes Ave Nw Seattle WA 98107-3839 | |
| (206) 297-7678 | |
| (206) 297-5930 |
| Full Name | Ballard Neighborhood Doctors Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 5416 Barnes Ave Nw, Seattle, Washington |
| Authorized Official Name and Position | Paula Hardy (OFFICE MANAGER) |
| Authorized Official Contact | 2062977678 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ballard Neighborhood Doctors Pllc 5416 Barnes Ave Nw Seattle WA 98107-3839 Ph: (206) 297-7678 | Ballard Neighborhood Doctors Pllc 5416 Barnes Ave Nw Seattle WA 98107-3839 Ph: (206) 297-7678 |
| NPI Number | 1912184680 |
|---|---|
| Provider Enumeration Date | 01/24/2008 |
| Last Update Date | 03/17/2015 |
| Medicare PECOS PAC ID | 0941364152 |
|---|---|
| Medicare Enrollment ID | O20090203000620 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912184680 | NPI | - | NPPES |
| 0244819 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Melissa R Weakland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649245713 PECOS PAC ID: 4082687165 Enrollment ID: I20050324000536 |
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