| Kutsys Medical Practice Incorporated | |
|
1545 116th Ave Ne Ste 104 Bellevue WA 98004-3813 | |
| (425) 637-2340 | |
| Not Available |
| Full Name | Kutsys Medical Practice Incorporated |
|---|---|
| Speciality | Internal Medicine |
| Location | 1545 116th Ave Ne Ste 104, Bellevue, Washington |
| Authorized Official Name and Position | Tatyana Kutsy (PRES) |
| Authorized Official Contact | 4256372340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kutsys Medical Practice Incorporated 1750 112th Ave Ne Ste D160 Bellevue WA 98004-3752 Ph: (425) 637-2340 | Kutsys Medical Practice Incorporated 1545 116th Ave Ne Ste 104 Bellevue WA 98004-3813 Ph: (425) 637-2340 |
| NPI Number | 1710161260 |
|---|---|
| Provider Enumeration Date | 12/19/2007 |
| Last Update Date | 11/14/2014 |
| Medicare PECOS PAC ID | 9436119732 |
|---|---|
| Medicare Enrollment ID | O20041012000716 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710161260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD00032596 (Washington) | Primary |
| Provider Name | Tatyana Kutsy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992807499 PECOS PAC ID: 1658331954 Enrollment ID: I20041013000402 |
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