<unavail> in Everett, WA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Everett, Washington. The current practice location for is 1920 100th St Se Ste B, Everett, Washington. For appointments, you can reach them via phone at (425) 312-0202. The mailing address for is Po Box 34703, Seattle, Washington and phone number is () -.

is licensed to practice in Washington (license number 600 537 278). The clinic also participates in the medicare program and its NPI number is 1962775270. 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 (425) 312-0202.

Contact Information


	1920 100th St Se Ste B Everett WA 98208-3832
	(425) 312-0202
	(425) 312-0263

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1920 100th St Se Ste B, Everett, Washington
Authorized Official Name and Position	Mary Bartolo (EXECUTIVE VICE PRESIDENT)
Authorized Official Contact	2067883224
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 34703 Seattle WA 98124-1703 Ph: () -	1920 100th St Se Ste B Everett WA 98208-3832 Ph: (425) 312-0202

NPI Details:

NPI Number	1962775270
Provider Enumeration Date	02/16/2012
Last Update Date	08/17/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	7315831161
Medicare Enrollment ID	O20120815000320

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962775270	NPI	-	NPPES
2019676	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Secondary
207QA0000X	Family Medicine - Adolescent Medicine	(* (Not Available))	Secondary
207QA0401X	Family Medicine - Addiction Medicine	(* (Not Available))	Secondary
207QA0505X	Family Medicine - Adult Medicine	(* (Not Available))	Secondary
207QG0300X	Family Medicine - Geriatric Medicine	(* (Not Available))	Secondary
207QS0010X	Family Medicine - Sports Medicine	(* (Not Available))	Secondary
207R00000X	Internal Medicine	(* (Not Available))	Secondary
207V00000X	Obstetrics & Gynecology	(* (Not Available))	Secondary
208000000X	Pediatrics	(* (Not Available))	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	600 537 278 (Washington)	Primary

Reviews and Comments

Clinic/Center in Everett, WA

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- Medicare Primary Care in Everett, WA