Optimus Senior Health Consultants, Pllc | |
4444 Woodland Park Ave N Unit B101 Seattle WA 98103-7549 | |
(206) 317-1956 | |
(206) 299-4618 |
Full Name | Optimus Senior Health Consultants, Pllc |
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Speciality | Family Medicine |
Location | 4444 Woodland Park Ave N Unit B101, Seattle, Washington |
Authorized Official Name and Position | Eric Jon Headings Troyer (CEO) |
Authorized Official Contact | 2063171896 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Optimus Senior Health Consultants, Pllc 7511 Greenwood Ave N # 526 Seattle WA 98103-4627 Ph: () - | Optimus Senior Health Consultants, Pllc 4444 Woodland Park Ave N Unit B101 Seattle WA 98103-7549 Ph: (206) 317-1956 |
NPI Number | 1407586456 |
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Provider Enumeration Date | 06/13/2022 |
Last Update Date | 06/13/2022 |
Medicare PECOS PAC ID | 1658754981 |
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Medicare Enrollment ID | O20220818001382 |
Identifier | Type | State | Issuer |
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1407586456 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Eric Troyer |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1972509933 PECOS PAC ID: 1557254836 Enrollment ID: I20040203000206 |
Provider Name | Andrew T Grossman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134483266 PECOS PAC ID: 4789833484 Enrollment ID: I20121011000903 |
Provider Name | James S Lin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235316712 PECOS PAC ID: 1456538404 Enrollment ID: I20130912000709 |
Provider Name | Hsing-wen Wang |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124803663 PECOS PAC ID: 7719335595 Enrollment ID: I20231205001525 |
Provider Name | Kim Hoang Vu |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003443649 PECOS PAC ID: 9335556463 Enrollment ID: I20240627003317 |
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