Jennifer Crowe Tolo, Md | |
1603 116th Ave Ne Ste 110 Bellevue WA 98004-3009 | |
(425) 458-4895 | |
(425) 458-4895 |
Full Name | Jennifer Crowe Tolo, Md |
---|---|
Speciality | Family Medicine |
Location | 1603 116th Ave Ne Ste 110, Bellevue, Washington |
Authorized Official Name and Position | Jennifer Crowe Tolo (OWNER) |
Authorized Official Contact | 4258988517 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jennifer Crowe Tolo, Md 1722 211th Way Ne Sammamish WA 98074-4218 Ph: (425) 898-8517 | Jennifer Crowe Tolo, Md 1603 116th Ave Ne Ste 110 Bellevue WA 98004-3009 Ph: (425) 458-4895 |
NPI Number | 1568650448 |
---|---|
Provider Enumeration Date | 10/04/2007 |
Last Update Date | 01/12/2011 |
Medicare PECOS PAC ID | 8022001890 |
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Medicare Enrollment ID | O20040407000052 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568650448 | NPI | - | NPPES |
1119221 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00034260 (Washington) | Primary |
Provider Name | Jennifer C Tolo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922023209 PECOS PAC ID: 4284627050 Enrollment ID: I20040415000367 |
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