| N/a | |
|
1045 S 320th St Ste 7 Federal Way WA 98003-5179 | |
| (206) 212-6554 | |
| Not Available |
| Full Name | N/a |
|---|---|
| Speciality | Family Medicine |
| Location | 1045 S 320th St Ste 7, Federal Way, Washington |
| Authorized Official Name and Position | Kristyn Dice (CONTRACTING MANAGER) |
| Authorized Official Contact | 2087173944 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| N/a 4523 42nd St Ne Tacoma WA 98422-2424 Ph: (206) 245-4902 | N/a 1045 S 320th St Ste 7 Federal Way WA 98003-5179 Ph: (206) 212-6554 |
| NPI Number | 1699364455 |
|---|---|
| Provider Enumeration Date | 01/15/2021 |
| Last Update Date | 07/13/2023 |
| Medicare PECOS PAC ID | 4981018553 |
|---|---|
| Medicare Enrollment ID | O20210122002103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699364455 | NPI | - | NPPES |
| Provider Name | Alnasir Adatia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164474227 PECOS PAC ID: 9638203656 Enrollment ID: I20100812000852 |
| Provider Name | Michael D Wingren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760595664 PECOS PAC ID: 1759405822 Enrollment ID: I20100825001081 |
| Provider Name | Sarah Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194377705 PECOS PAC ID: 0941539829 Enrollment ID: I20190903002389 |
| Provider Name | Deborah Finch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679043574 PECOS PAC ID: 9830429950 Enrollment ID: I20191002002260 |
| Provider Name | Ubah S Gaani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861913832 PECOS PAC ID: 3375819550 Enrollment ID: I20220126002347 |
| Provider Name | Jorein G Teves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881365435 PECOS PAC ID: 4587048186 Enrollment ID: I20220831001373 |
| Provider Name | Junior Germeille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477295566 PECOS PAC ID: 4880078385 Enrollment ID: I20220901001737 |
| Provider Name | Miyong Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790246478 PECOS PAC ID: 9335573328 Enrollment ID: I20230815000136 |
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Adult Health And Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 33650 6th Ave S, Suite 100, Federal Way, WA 98003 Phone: 253-942-3306 Fax: 253-815-8805 | |
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One Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1414 S. 324th Street, Federal Way, WA 98003 Phone: 253-220-3121 | |
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