Evolve Md, Pllc is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Lake Forest Park, Washington. The current practice location for Evolve Md, Pllc is 19243 Forest Park Dr Ne, Lake Forest Park, Washington. For appointments, you can reach them via phone at
(206) 518-2122. The mailing address for Evolve Md, Pllc is 19243 Forest Park Dr Ne, Lake Forest Park, Washington and phone number is () -.
Evolve Md, Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1578222592. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(206) 518-2122.
Primary Care Clinic Profile
| Full Name | Evolve Md, Pllc |
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| Speciality | Clinic/Center |
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| Location | 19243 Forest Park Dr Ne, Lake Forest Park, Washington |
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| Authorized Official Name and Position | Jeffrey Beck (PHYSICIAN) |
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| Authorized Official Contact | 2065182122 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Evolve Md, Pllc
19243 Forest Park Dr Ne
Lake Forest Park
WA 98155-2441
Ph: () - | Evolve Md, Pllc
19243 Forest Park Dr Ne
Lake Forest Park
WA 98155-2441
Ph: (206) 518-2122 |
NPI Details:
| NPI Number | 1578222592 |
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| Provider Enumeration Date | 12/17/2021 |
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| Last Update Date | 12/17/2021 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 3375934482 |
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| Medicare Enrollment ID | O20220720003217 |
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Medical Identifiers
Medical identifiers for Evolve Md, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578222592 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Evolve Md, Pllc acts as a billing entity for following providers:
| Provider Name | Jeffrey Chandler Beck |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1205078896
PECOS PAC ID: 0446494686
Enrollment ID: I20220720003278 |
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