| Doc Mamas Medicine, Llc | |
|
165 17th Ave #101 Seattle WA 98122 | |
| (425) 998-8277 | |
| Not Available |
| Full Name | Doc Mamas Medicine, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 165 17th Ave, Seattle, Washington |
| Authorized Official Name and Position | Wilfred Levasseur (OWNER) |
| Authorized Official Contact | 2069921255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doc Mamas Medicine, Llc 165 17th Ave #101 Seattle WA 98122 Ph: (425) 998-8277 | Doc Mamas Medicine, Llc 165 17th Ave #101 Seattle WA 98122 Ph: (425) 998-8277 |
| NPI Number | 1770359705 |
|---|---|
| Provider Enumeration Date | 11/30/2023 |
| Last Update Date | 02/20/2024 |
| Medicare PECOS PAC ID | 6103262787 |
|---|---|
| Medicare Enrollment ID | O20240306002784 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770359705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Wilfred Levasseur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023490786 PECOS PAC ID: 7911343595 Enrollment ID: I20240306002847 |
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