| Member Plus Family Health Pllc | |
|
123 Bjune Dr Se Ste 101 Bainbridge Island WA 98110-2459 | |
| (206) 842-3222 | |
| (206) 842-1877 |
| Full Name | Member Plus Family Health Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 123 Bjune Dr Se Ste 101, Bainbridge Island, Washington |
| Authorized Official Name and Position | Blain Crandell (OWNER/PROVIDER) |
| Authorized Official Contact | 2068423222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Member Plus Family Health Pllc 123 Bjune Dr Se Ste 101 Bainbridge Island WA 98110-2459 Ph: (206) 842-3222 | Member Plus Family Health Pllc 123 Bjune Dr Se Ste 101 Bainbridge Island WA 98110-2459 Ph: (206) 842-3222 |
| NPI Number | 1447740998 |
|---|---|
| Provider Enumeration Date | 05/10/2018 |
| Last Update Date | 05/10/2018 |
| Medicare PECOS PAC ID | 5597182048 |
|---|---|
| Medicare Enrollment ID | O20200828000493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447740998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Blain A Crandell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215964614 PECOS PAC ID: 9436129855 Enrollment ID: I20040730001008 |
| Provider Name | Erica F Hickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649680695 PECOS PAC ID: 3779702683 Enrollment ID: I20140908001884 |
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