| |
808 N 5th Ave Sequim WA 98382-3045 | |
(360) 683-5900 | |
(360) 582-4800 |
Full Name | |
---|---|
Speciality | General Practice |
Location | 808 N 5th Ave, Sequim, Washington |
Authorized Official Name and Position | William Ron Allen (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3606831109 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
808 N 5th Ave Sequim WA 98382-3045 Ph: (360) 683-5900 | 808 N 5th Ave Sequim WA 98382-3045 Ph: (360) 683-5900 |
NPI Number | 1134181555 |
---|---|
Provider Enumeration Date | 04/03/2006 |
Last Update Date | 12/29/2021 |
Medicare PECOS PAC ID | 2365349495 |
---|---|
Medicare Enrollment ID | O20050507000057 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134181555 | NPI | - | NPPES |
7111768 | Medicaid | WA |
Provider Name | Paul R Cunningham |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962477935 PECOS PAC ID: 9436057718 Enrollment ID: I20050614000634 |
Provider Name | Jerome R Oakes |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245263755 PECOS PAC ID: 3274438072 Enrollment ID: I20050816000468 |
Provider Name | Carrie Matyac |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669439451 PECOS PAC ID: 6507881984 Enrollment ID: I20051014000195 |
Provider Name | Pamela L Payne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669424008 PECOS PAC ID: 5395701213 Enrollment ID: I20060217000694 |
Provider Name | Mark S Redlin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184643165 PECOS PAC ID: 2062425796 Enrollment ID: I20060725000475 |
Provider Name | Risa Denenberg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306904990 PECOS PAC ID: 2163524570 Enrollment ID: I20081006000159 |
Provider Name | Karen M Carlson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245317486 PECOS PAC ID: 9931246865 Enrollment ID: I20091027000263 |
Provider Name | Donald C Manuele |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073625950 PECOS PAC ID: 8921998840 Enrollment ID: I20091210000567 |
Provider Name | Kristie J Coppedge |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093850224 PECOS PAC ID: 2769655943 Enrollment ID: I20111103000438 |
Provider Name | Lisa M Wu |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124224092 PECOS PAC ID: 2567619968 Enrollment ID: I20120820000776 |
Provider Name | Kaylee B Petersen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003152364 PECOS PAC ID: 1658512843 Enrollment ID: I20130731000324 |
Provider Name | Jessica Myhre |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376820688 PECOS PAC ID: 4082848387 Enrollment ID: I20130927000240 |
Provider Name | Lisa Rene Peters |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366876724 PECOS PAC ID: 7517180029 Enrollment ID: I20140624000533 |
Provider Name | Tania G Hernandez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497918858 PECOS PAC ID: 7416198726 Enrollment ID: I20141020000024 |
Provider Name | Bonnie A Plocher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659514008 PECOS PAC ID: 0042360711 Enrollment ID: I20150225000857 |
Provider Name | Kevin A Rullman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497809669 PECOS PAC ID: 9638351323 Enrollment ID: I20150918000451 |
Provider Name | Phillip Luther Shealy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811394935 PECOS PAC ID: 3577873264 Enrollment ID: I20151109002177 |
Provider Name | Molly Jean Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417364761 PECOS PAC ID: 9234451543 Enrollment ID: I20160115000686 |
Provider Name | David Rodgers |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962478990 PECOS PAC ID: 4385788231 Enrollment ID: I20160129001108 |
Provider Name | Allison Diane Berry |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982973400 PECOS PAC ID: 6507182763 Enrollment ID: I20160718000122 |
Provider Name | Jess A Calohan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992813679 PECOS PAC ID: 4981998648 Enrollment ID: I20160803002978 |
Provider Name | Jaime C Long |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619152600 PECOS PAC ID: 6305124389 Enrollment ID: I20161026000425 |
Provider Name | James Fasciano |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467427443 PECOS PAC ID: 0840399697 Enrollment ID: I20161206002057 |
Provider Name | Sherry Ann Churchill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114470747 PECOS PAC ID: 6709173370 Enrollment ID: I20180521002619 |
Provider Name | Terry Wayne Fouts |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1356434542 PECOS PAC ID: 5092724401 Enrollment ID: I20180719001997 |
Provider Name | Tracy M Young |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972562726 PECOS PAC ID: 8729037650 Enrollment ID: I20181026000475 |
Provider Name | Josh Huhndorf |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275989881 PECOS PAC ID: 5991070427 Enrollment ID: I20190923000707 |
Provider Name | Kristin Michelle Puhl |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780189324 PECOS PAC ID: 1951652106 Enrollment ID: I20210510001057 |
Provider Name | Lorena M Bess |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508364878 PECOS PAC ID: 4981000841 Enrollment ID: I20210901002692 |
Provider Name | Stacie L Olson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669756755 PECOS PAC ID: 4880953009 Enrollment ID: I20211011000630 |
Provider Name | Andrea Ann Eickelmann |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508323171 PECOS PAC ID: 4789072562 Enrollment ID: I20211027002647 |
Provider Name | Ginger Nicole Rodriguez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871268870 PECOS PAC ID: 1254707938 Enrollment ID: I20221020002438 |
Provider Name | Melinda Webb |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225268931 PECOS PAC ID: 2365636768 Enrollment ID: I20221216000626 |
Provider Name | John Ellery |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962039511 PECOS PAC ID: 3870915333 Enrollment ID: I20230817002345 |
Provider Name | Robert Anthony Welch |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1831249960 PECOS PAC ID: 6507216710 Enrollment ID: I20240102000152 |
Provider Name | Ranjeet Kaur Seera |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437923810 PECOS PAC ID: 4789035387 Enrollment ID: I20240108006061 |
Provider Name | Dustin J Brenske |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1831520550 PECOS PAC ID: 8022469121 Enrollment ID: I20240112000886 |
Provider Name | Denelle Martin |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1194845487 PECOS PAC ID: 2860386604 Enrollment ID: I20240429002394 |
Provider Name | Natalie Sovde |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1376735274 PECOS PAC ID: 8820439938 Enrollment ID: I20240507002339 |
Provider Name | Darcy Schultz |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1487962171 PECOS PAC ID: 7315383502 Enrollment ID: I20240612003475 |
Provider Name | Alicia Lorine Haley |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073856159 PECOS PAC ID: 9032654488 Enrollment ID: I20240710003189 |
Provider Name | Jeffrey Catten Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497197891 PECOS PAC ID: 4385878149 Enrollment ID: I20240927000761 |
Kathi Gunn Arnp Fnp-bc Pbp, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 519 Eureka Way Ste 1, Sequim, WA 98382 Phone: 360-808-7533 | |