| Olympic Internal Medicine, Inc., P.s. | |
|
2620 Wheaton Way Bremerton WA 98310-3335 | |
| (360) 377-3923 | |
| (360) 373-4988 |
| Full Name | Olympic Internal Medicine, Inc., P.s. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2620 Wheaton Way, Bremerton, Washington |
| Authorized Official Name and Position | Jennifer Ann Frey (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 3603773923 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olympic Internal Medicine, Inc., P.s. 2620 Wheaton Way Bremerton WA 98310-3335 Ph: (360) 377-3923 | Olympic Internal Medicine, Inc., P.s. 2620 Wheaton Way Bremerton WA 98310-3335 Ph: (360) 377-3923 |
| NPI Number | 1861624876 |
|---|---|
| Provider Enumeration Date | 08/10/2009 |
| Last Update Date | 11/12/2009 |
| Medicare PECOS PAC ID | 1456497072 |
|---|---|
| Medicare Enrollment ID | O20091012000342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861624876 | NPI | - | NPPES |
| 7147309 | Medicaid | WA |
| Provider Name | Frederick H Dore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851372395 PECOS PAC ID: 6800709197 Enrollment ID: I20031118000983 |
| Provider Name | Gary J Gretch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053392597 PECOS PAC ID: 1355254640 Enrollment ID: I20031119000183 |
| Provider Name | Michael B Steele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144283722 PECOS PAC ID: 3173669710 Enrollment ID: I20091012000449 |
| Provider Name | Major R Gross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326035387 PECOS PAC ID: 4587700125 Enrollment ID: I20091012000494 |
| Provider Name | Reid D Holtzclaw-swan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992782288 PECOS PAC ID: 0143401000 Enrollment ID: I20110224000858 |
| Provider Name | Mary R Hutton Eyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134488323 PECOS PAC ID: 4183877855 Enrollment ID: I20130104000405 |
| Provider Name | Shafeen Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902149966 PECOS PAC ID: 8729362231 Enrollment ID: I20170301001001 |
| Provider Name | Macie Ann Booker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033708920 PECOS PAC ID: 2264849967 Enrollment ID: I20210324003341 |
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