| Geriatric Medicine ,llc | |
|
3980 129th Pl Se Apt B201 Bellevue WA 98006-5293 | |
| (206) 601-6149 | |
| (206) 219-5598 |
| Full Name | Geriatric Medicine ,llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3980 129th Pl Se Apt B201, Bellevue, Washington |
| Authorized Official Name and Position | Benjamin N Pinto (OWNER) |
| Authorized Official Contact | 2066016149 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Medicine ,llc 12819 Se 38th St Pmb243 Bellevue WA 98006-1326 Ph: (206) 601-6149 | Geriatric Medicine ,llc 3980 129th Pl Se Apt B201 Bellevue WA 98006-5293 Ph: (206) 601-6149 |
| NPI Number | 1942525498 |
|---|---|
| Provider Enumeration Date | 03/27/2010 |
| Last Update Date | 01/27/2022 |
| Medicare PECOS PAC ID | 3577687045 |
|---|---|
| Medicare Enrollment ID | O20100907000142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942525498 | NPI | - | NPPES |
| 0241685 | Other | L & I | |
| 8527749 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | MD00028124 (Washington) | Primary |
| Provider Name | Benjamin Pinto |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1649327776 PECOS PAC ID: 0446144091 Enrollment ID: I20090303000509 |
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