| Ideal Telemedicine Services, Llc | |
|
5615 Dunbarton Ave Pasco WA 99301-8216 | |
| (509) 570-9302 | |
| (833) 888-7145 |
| Full Name | Ideal Telemedicine Services, Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 11/20/2017 |
| Last Update Date | 05/21/2019 |
| Medicare PECOS PAC ID | 2860726221 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053654541 PECOS PAC ID: 5597903419 Enrollment ID: I20130604000438 |
| Provider Name | Holly Thomas |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104378181 PECOS PAC ID: 0446530232 Enrollment ID: I20161214000423 |
| Provider Name | Brian Dawson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871540435 PECOS PAC ID: 6800811993 Enrollment ID: I20170619002206 |
| Provider Name | Andrea Munder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801287529 PECOS PAC ID: 7719204221 Enrollment ID: I20171118000165 |
| Provider Name | Mariya Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679055420 PECOS PAC ID: 5193060812 Enrollment ID: I20181227000177 |
| Provider Name | Kristi Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821507419 PECOS PAC ID: 6406193853 Enrollment ID: I20190123003937 |
| Provider Name | Jennifer Mothershed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881237972 PECOS PAC ID: 9133374887 Enrollment ID: I20200122000739 |
| Provider Name | Jade Danielle Ammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164836862 PECOS PAC ID: 7618196585 Enrollment ID: I20201116002636 |
| Provider Name | Nathan Kaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184060980 PECOS PAC ID: 9133363070 Enrollment ID: I20201118000573 |
| Provider Name | Nakisha Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447805551 PECOS PAC ID: 4385976836 Enrollment ID: I20201223000973 |
| Provider Name | Ashley Tebay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083143580 PECOS PAC ID: 1052673522 Enrollment ID: I20210111000259 |
| Provider Name | Carole Nguekam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518509488 PECOS PAC ID: 4587071139 Enrollment ID: I20210331000281 |
| Provider Name | Nicole Lee Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972084978 PECOS PAC ID: 5395099204 Enrollment ID: I20210824003159 |
| Provider Name | Mina Michael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124687157 PECOS PAC ID: 1850779224 Enrollment ID: I20220526001367 |
| Provider Name | Richard Mattis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821040247 PECOS PAC ID: 7113964958 Enrollment ID: I20230303000811 |
| Provider Name | Ruth Ola Osueke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104358704 PECOS PAC ID: 3274882329 Enrollment ID: I20230411002279 |
| Provider Name | Nicole Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427754332 PECOS PAC ID: 2264890078 Enrollment ID: I20230626002158 |
| Provider Name | Amber Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467164475 PECOS PAC ID: 1557722832 Enrollment ID: I20230831002161 |
| Provider Name | Carissa Cornell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629323605 PECOS PAC ID: 5092941229 Enrollment ID: I20231129003509 |
| Provider Name | Melissa Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477798817 PECOS PAC ID: 6204992159 Enrollment ID: I20240111003028 |
| Provider Name | Heather Mcmanigal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154986560 PECOS PAC ID: 3072769967 Enrollment ID: I20240125002129 |
Ppgwni Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3901 W Court, Pasco, WA 99301 Phone: 866-904-7721 Fax: 509-545-8932 | |
Lourdes Health And Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4215 Convention Pl, Suite B, Pasco, WA 99301 Phone: 509-416-8849 | |
Chc La Clinica - Health Maint. Org Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 W Court St, Pasco, WA 99301 Phone: 509-547-2204 Fax: 509-542-8836 | |
Lourdes 14th Avenue Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 N 14th Ave, Pasco, WA 99301 Phone: 509-547-7704 | |
Associated Family Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 531 W Park St, Suite 3, Pasco, WA 99301 Phone: 509-547-6617 Fax: 509-547-6435 | |
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 |