| Family Medicine Center, Pllc | |
|
11420 Ne 20th St Suite A Bellevue WA 98004-3007 | |
| (425) 646-7800 | |
| (425) 646-8828 |
| Full Name | Family Medicine Center, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 11420 Ne 20th St, Bellevue, Washington |
| Authorized Official Name and Position | Karla J Byrum (BILLING MANAGER) |
| Authorized Official Contact | 4257710184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Center, Pllc 11420 Ne 20th St Suite A Bellevue WA 98004-3007 Ph: (425) 646-7800 | Family Medicine Center, Pllc 11420 Ne 20th St Suite A Bellevue WA 98004-3007 Ph: (425) 646-7800 |
| NPI Number | 1265650261 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 09/06/2017 |
| Medicare PECOS PAC ID | 0446244701 |
|---|---|
| Medicare Enrollment ID | O20040412000412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265650261 | NPI | - | NPPES |
| 1117753 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sumathy T Pathy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346273158 PECOS PAC ID: 3971597139 Enrollment ID: I20050404000985 |
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