| Kitsap Medical Group | |
|
2601 Cherry Ave # 213 Bremerton WA 98310-4203 | |
| (360) 479-6041 | |
| Not Available |
| Full Name | Kitsap Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 2601 Cherry Ave, Bremerton, Washington |
| Authorized Official Name and Position | Donald L Sharman (PRESIDENT) |
| Authorized Official Contact | 3604796041 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kitsap Medical Group 2601 Cherry Ave # 213 Bremerton WA 98310-4203 Ph: (360) 479-6041 | Kitsap Medical Group 2601 Cherry Ave # 213 Bremerton WA 98310-4203 Ph: (360) 479-6041 |
| NPI Number | 1881634251 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 01/10/2013 |
| Medicare PECOS PAC ID | 7618969643 |
|---|---|
| Medicare Enrollment ID | O20040331000921 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881634251 | NPI | - | NPPES |
| 7089162 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD00023839 (Washington) | Primary |
| Provider Name | William M Bauer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902887276 PECOS PAC ID: 5991619207 Enrollment ID: I20031119000282 |
| Provider Name | Joanne Rhoads |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811073562 PECOS PAC ID: 4880679760 Enrollment ID: I20040623001275 |
| Provider Name | Sandra M Clauson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205886892 PECOS PAC ID: 3274544788 Enrollment ID: I20060518000015 |
| Provider Name | Donald L Sharman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851331318 PECOS PAC ID: 4587656525 Enrollment ID: I20101021000518 |
| Provider Name | Meridith Margaret Hallowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679129431 PECOS PAC ID: 3476883505 Enrollment ID: I20191002002313 |
| Provider Name | Amie Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699364505 PECOS PAC ID: 2860807625 Enrollment ID: I20210209001975 |
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