| Summit Consulting For Post Acute Care Llc | |
|
1170 Alki Ave Sw Apt 301 Seattle WA 98116-4828 | |
| (206) 595-3383 | |
| Not Available |
| Full Name | Summit Consulting For Post Acute Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1170 Alki Ave Sw Apt 301, Seattle, Washington |
| Authorized Official Name and Position | Mohammed M Muraywid (PRESIDENT) |
| Authorized Official Contact | 2065953383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Consulting For Post Acute Care Llc 1170 Alki Ave Sw Apt 301 Seattle WA 98116-4828 Ph: (206) 595-3383 | Summit Consulting For Post Acute Care Llc 1170 Alki Ave Sw Apt 301 Seattle WA 98116-4828 Ph: (206) 595-3383 |
| NPI Number | 1922585736 |
|---|---|
| Provider Enumeration Date | 07/24/2018 |
| Last Update Date | 07/24/2018 |
| Medicare PECOS PAC ID | 7416201751 |
|---|---|
| Medicare Enrollment ID | O20181126002091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922585736 | NPI | - | NPPES |
| 00000000000000 | Other | WA | N/A |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD00045913 (Washington) | Primary |
| Provider Name | Laura N Luu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578505533 PECOS PAC ID: 2961442108 Enrollment ID: I20050506000728 |
| Provider Name | Mohammed M Muraywid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518062280 PECOS PAC ID: 4486668142 Enrollment ID: I20060201000777 |
| Provider Name | Melonie K Rockwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558427732 PECOS PAC ID: 9234211137 Enrollment ID: I20080131000159 |
| Provider Name | Wilfred Leung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306018262 PECOS PAC ID: 9335312164 Enrollment ID: I20130820001070 |
| Provider Name | Jessica A Cassady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811326242 PECOS PAC ID: 3274760137 Enrollment ID: I20170320002200 |
| Provider Name | Kathryn Elizabeth De Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053888529 PECOS PAC ID: 2769722495 Enrollment ID: I20190315002365 |
| Provider Name | Bien Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982180683 PECOS PAC ID: 0244575918 Enrollment ID: I20210303002738 |
| Provider Name | Selman Manuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992170427 PECOS PAC ID: 4183928864 Enrollment ID: I20210811003462 |
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