Connections Medical Of Wa, Pllc | |
11410 Ne 122nd Way Kirkland WA 98034-6945 | |
(520) 301-2400 | |
Not Available |
Full Name | Connections Medical Of Wa, Pllc |
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Speciality | Clinic/Center |
Location | 11410 Ne 122nd Way, Kirkland, Washington |
Authorized Official Name and Position | Cheryl Boyle (DIRECTOR, CREDENTIALING) |
Authorized Official Contact | 7376006039 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Connections Medical Of Wa, Pllc 2390 E Camelback Rd Phoenix AZ 85016-3448 Ph: () - | Connections Medical Of Wa, Pllc 11410 Ne 122nd Way Kirkland WA 98034-6945 Ph: (520) 301-2400 |
NPI Number | 1073205431 |
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Provider Enumeration Date | 05/24/2023 |
Last Update Date | 05/24/2023 |
Medicare PECOS PAC ID | 0547608390 |
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Medicare Enrollment ID | O20240329001703 |
Identifier | Type | State | Issuer |
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1073205431 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Margaret E Balfour |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1912101239 PECOS PAC ID: 1557556669 Enrollment ID: I20240401000400 |
Provider Name | Laura Gatz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992331276 PECOS PAC ID: 2567882129 Enrollment ID: I20240528003034 |
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