| Muckleshoot Health And Wellness Center | |
|
17500 Se 392nd St Auburn WA 98092-9705 | |
| (253) 939-6648 | |
| (253) 887-8737 |
| Full Name | Muckleshoot Health And Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 17500 Se 392nd St, Auburn, Washington |
| Authorized Official Name and Position | Kathleen Goodwin-snyder (HEALTH MANAGER) |
| Authorized Official Contact | 2539396648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Muckleshoot Health And Wellness Center 17500 Se 392nd St Auburn WA 98092-9705 Ph: (253) 939-6648 | Muckleshoot Health And Wellness Center 17500 Se 392nd St Auburn WA 98092-9705 Ph: (253) 939-6648 |
| NPI Number | 1558448175 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 01/11/2017 |
| Medicare PECOS PAC ID | 5092724286 |
|---|---|
| Medicare Enrollment ID | O20060417000580 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558448175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 332800000X | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy | (* (Not Available)) | Secondary |
| Provider Name | Jake Bergstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134289051 PECOS PAC ID: 5294897906 Enrollment ID: I20081215000186 |
| Provider Name | James Hampton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689621534 PECOS PAC ID: 4183811078 Enrollment ID: I20101203000842 |
| Provider Name | Steven Park |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730306374 PECOS PAC ID: 1456317619 Enrollment ID: I20170407000533 |
| Provider Name | Saritha Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013032028 PECOS PAC ID: 1557648607 Enrollment ID: I20170427002252 |
| Provider Name | Amber Postma |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1437539616 PECOS PAC ID: 6305154535 Enrollment ID: I20170508001167 |
| Provider Name | Vladimir Stovbyr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902158249 PECOS PAC ID: 6103136650 Enrollment ID: I20170512000283 |
| Provider Name | Catherine B Wilke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336137868 PECOS PAC ID: 6103853999 Enrollment ID: I20180125001568 |
| Provider Name | Nancy A Becker |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679582654 PECOS PAC ID: 9739177668 Enrollment ID: I20180227000731 |
| Provider Name | Judy A Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265506216 PECOS PAC ID: 9335035864 Enrollment ID: I20190122000697 |
| Provider Name | Celeste Misko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093880445 PECOS PAC ID: 4587788898 Enrollment ID: I20190925000134 |
| Provider Name | Emily M Mcwaters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902941222 PECOS PAC ID: 4587790142 Enrollment ID: I20191107000027 |
| Provider Name | Mark Andrew Tomski |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1629187687 PECOS PAC ID: 7416906383 Enrollment ID: I20191204000747 |
Holistic Family Care Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 721 M St Ne Ste 105, Auburn, WA 98002 Phone: 253-766-1161 Fax: 253-804-5655 | |
Sea Mar Chc Auburn Behavioral Health-division St Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 N Division St Ste 300, Auburn, WA 98001 Phone: 206-763-5277 | |
Sea Mar Chc Auburn Mountainview High School Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 28900 124th Ave Se, Auburn, WA 98092 Phone: 532-942-1202 Fax: 253-294-2122 | |
Healthpoint Auburn North Annex Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 Auburn Way N Ste B, Auburn, WA 98002 Phone: 425-277-1311 | |
Emmal Felipe Enterprises Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1340 M St Se, Suite A, Auburn, WA 98002 Phone: 253-735-2777 Fax: 253-735-4153 | |
Internal Medicine Consultants Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3130 S 381st Way, Auburn, WA 98001 Phone: 206-963-9052 Fax: 206-274-8164 | |
Internal Medicine Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Auburn Ave, Auburn, WA 98002 Phone: 253-833-1735 Fax: 253-833-8515 |