Rejuvenation Medical Pllc - Medicare Primary Care in Shoreline, WA

Rejuvenation Medical Pllc is a medicare enrolled primary clinic (Family Medicine) in Shoreline, Washington. The current practice location for Rejuvenation Medical Pllc is 20011 Ballinger Way Ne, Shoreline, Washington. For appointments, you can reach them via phone at (206) 407-4171. The mailing address for Rejuvenation Medical Pllc is 20011 Ballinger Way Ne, Shoreline, Washington and phone number is (206) 407-4171.

Rejuvenation Medical Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1447712559. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (206) 407-4171.

Contact Information

Rejuvenation Medical Pllc
20011 Ballinger Way Ne
Shoreline
WA 98155-1286
(206) 407-4171
(206) 906-9981

Map and Direction


Primary Care Clinic Profile

Full NameRejuvenation Medical Pllc
SpecialityFamily Medicine
Location20011 Ballinger Way Ne, Shoreline, Washington
Authorized Official Name and PositionJoshua Kretchmar (DO)
Authorized Official Contact8177892639
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Rejuvenation Medical Pllc
20011 Ballinger Way Ne
Shoreline
WA 98155-1286

Ph: (206) 407-4171
Rejuvenation Medical Pllc
20011 Ballinger Way Ne
Shoreline
WA 98155-1286

Ph: (206) 407-4171

NPI Details:

NPI Number1447712559
Provider Enumeration Date04/05/2019
Last Update Date04/05/2019

Medicare PECOS Information:

Medicare PECOS PAC ID4880083062
Medicare Enrollment IDO20211109001571

Medical Identifiers

Medical identifiers for Rejuvenation Medical Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447712559NPI-NPPES
OP60765453OtherWALICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Rejuvenation Medical Pllc acts as a billing entity for following providers:
Provider NameJoshua B Kretchmar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629485701
PECOS PAC ID: 6507157575
Enrollment ID: I20171017000916
Provider NameHong-nhung T Do
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003309683
PECOS PAC ID: 2365793502
Enrollment ID: I20180926003060
Provider NameMeridith Margaret Hallowell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679129431
PECOS PAC ID: 3476883505
Enrollment ID: I20191002002313
Provider NameGibril Kargbo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609386440
PECOS PAC ID: 7416214564
Enrollment ID: I20200324001967
Provider NameJong S Oh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801433131
PECOS PAC ID: 0345635876
Enrollment ID: I20220321001476
Provider NameMario L Mata
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053057117
PECOS PAC ID: 6406220185
Enrollment ID: I20230320002476

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.