| Queen Anne Medical Associates, Pllc | |
|
200 W Mercer St Suite #104 Seattle WA 98119-3995 | |
| (206) 281-7163 | |
| (206) 281-5088 |
| Full Name | Queen Anne Medical Associates, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 200 W Mercer St, Seattle, Washington |
| Authorized Official Name and Position | Linda J. Gromko (OWNER) |
| Authorized Official Contact | 2062817163 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Queen Anne Medical Associates, Pllc 200 W Mercer St Suite #104 Seattle WA 98119-3995 Ph: (206) 281-7163 | Queen Anne Medical Associates, Pllc 200 W Mercer St Suite #104 Seattle WA 98119-3995 Ph: (206) 281-7163 |
| NPI Number | 1952574642 |
|---|---|
| Provider Enumeration Date | 04/02/2008 |
| Last Update Date | 04/02/2008 |
| Medicare PECOS PAC ID | 3072404383 |
|---|---|
| Medicare Enrollment ID | O20040324000401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952574642 | NPI | - | NPPES |
| 113413 | Other | WA | LABOR & INDUSTRY |
| 7092042 | Medicaid | WA |
| Provider Name | Carol R Keenholts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346263472 PECOS PAC ID: 9436167111 Enrollment ID: I20060323000090 |
| Provider Name | Linda J Gromko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831112929 PECOS PAC ID: 2567353873 Enrollment ID: I20101108001435 |
| Provider Name | Rachel Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689034241 PECOS PAC ID: 4789976069 Enrollment ID: I20221122001678 |
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