| Senior Healthcare Associates Llc | |
|
4700 Sw Admiral Way Seattle WA 98116-2386 | |
| (360) 218-2962 | |
| (888) 518-4955 |
| Full Name | Senior Healthcare Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4700 Sw Admiral Way, Seattle, Washington |
| Authorized Official Name and Position | Bob Thong (MANAGER) |
| Authorized Official Contact | 2066597816 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Healthcare Associates Llc 12819 Se 38th St # 270 Bellevue WA 98006-1326 Ph: (360) 218-2962 | Senior Healthcare Associates Llc 4700 Sw Admiral Way Seattle WA 98116-2386 Ph: (360) 218-2962 |
| NPI Number | 1730854829 |
|---|---|
| Provider Enumeration Date | 08/11/2021 |
| Last Update Date | 01/07/2025 |
| Medicare PECOS PAC ID | 3577960350 |
|---|---|
| Medicare Enrollment ID | O20210921002452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730854829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Marisa L Mccune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528375706 PECOS PAC ID: 8921290784 Enrollment ID: I20150520002435 |
| Provider Name | Courtney N Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407403348 PECOS PAC ID: 6406281286 Enrollment ID: I20200604002448 |
| Provider Name | Jill M Nutter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619562741 PECOS PAC ID: 1052719051 Enrollment ID: I20211005003228 |
| Provider Name | Taunya Franklin-stapf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225687106 PECOS PAC ID: 2163810847 Enrollment ID: I20211029000544 |
| Provider Name | Kelsey M Lisius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144876319 PECOS PAC ID: 2062743206 Enrollment ID: I20220223001589 |
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