Ideal Telemedicine Services, Llc | |
5615 Dunbarton Ave Pasco WA 99301-8216 | |
(509) 570-9302 | |
(833) 888-7145 |
Full Name | Ideal Telemedicine Services, Llc |
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Speciality | Clinic/Center |
Location | 5615 Dunbarton Ave, Pasco, Washington |
Authorized Official Name and Position | Jeffrey Todd Allgaier (CEO) |
Authorized Official Contact | 5092221275 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ideal Telemedicine Services, Llc 8656 W Gage Blvd Ste 301b Kennewick WA 99336-7145 Ph: (509) 222-1275 | Ideal Telemedicine Services, Llc 5615 Dunbarton Ave Pasco WA 99301-8216 Ph: (509) 570-9302 |
NPI Number | 1346754868 |
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Provider Enumeration Date | 11/20/2017 |
Last Update Date | 05/21/2019 |
Medicare PECOS PAC ID | 2860726221 |
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Medicare Enrollment ID | O20190625003692 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346754868 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (Washington) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Provider Name | Chloe Nichols |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053654541 PECOS PAC ID: 5597903419 Enrollment ID: I20130604000438 |
Provider Name | Brian Dawson |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1871540435 PECOS PAC ID: 6800811993 Enrollment ID: I20170619002206 |
Provider Name | Andrea Munder |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801287529 PECOS PAC ID: 7719204221 Enrollment ID: I20171118000165 |
Provider Name | Kristi Pope |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821507419 PECOS PAC ID: 6406193853 Enrollment ID: I20190123003937 |
Provider Name | Jade Ammons |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164836862 PECOS PAC ID: 7618196585 Enrollment ID: I20201116002636 |
Provider Name | Nathan Kaiser |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184060980 PECOS PAC ID: 9133363070 Enrollment ID: I20201118000573 |
Provider Name | Carole Nguekam |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518509488 PECOS PAC ID: 4587071139 Enrollment ID: I20210331000281 |
Provider Name | Nicole Lee Robinson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972084978 PECOS PAC ID: 5395099204 Enrollment ID: I20210824003159 |
Provider Name | Mina Michael |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124687157 PECOS PAC ID: 1850779224 Enrollment ID: I20220526001367 |
Provider Name | Richard Mattis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821040247 PECOS PAC ID: 7113964958 Enrollment ID: I20230303000811 |
Provider Name | Amber Davis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467164475 PECOS PAC ID: 1557722832 Enrollment ID: I20230831002161 |
Provider Name | Carissa Cornell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629323605 PECOS PAC ID: 5092941229 Enrollment ID: I20231129003509 |
Provider Name | Melissa Michele Welch |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477798817 PECOS PAC ID: 6204992159 Enrollment ID: I20240111003028 |
Provider Name | Heather Mcmanigal |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154986560 PECOS PAC ID: 3072769967 Enrollment ID: I20240125002129 |
Provider Name | Carissa Cornell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629323605 PECOS PAC ID: 5092941229 Enrollment ID: I20240627003499 |
Alex B Najera Md Ps Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1620 N Road 44, Pasco, WA 99301 Phone: 509-544-2156 Fax: 509-544-2158 | |
Columbia Safety Medical Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9530 Bedford St, Pasco, WA 99301 Phone: 509-820-3883 |