<unavail> in Everett, WA - Medicare Internal Medicine

is a medicare enrolled primary clinic (Internal Medicine) in Everett, Washington. The current practice location for is 9505 19th Ave Se, 100, Everett, Washington. For appointments, you can reach them via phone at (425) 353-9191. The mailing address for is 9505 19th Ave Se Ste 101, Everett, Washington and phone number is (425) 353-9191.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1972727402. 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) 353-9191.

Contact Information


	9505 19th Ave Se 100 Everett WA 98208-3853
	(425) 353-9191
	(425) 353-0015

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Internal Medicine
Location	9505 19th Ave Se, Everett, Washington
Authorized Official Name and Position	Rina Roy (OWNER)
Authorized Official Contact	4253539191
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
9505 19th Ave Se Ste 101 Everett WA 98208-3840 Ph: (425) 353-9191	9505 19th Ave Se 100 Everett WA 98208-3853 Ph: (425) 353-9191

NPI Details:

NPI Number	1972727402
Provider Enumeration Date	04/13/2007
Last Update Date	02/15/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	1658367057
Medicare Enrollment ID	O20040421001645

Medical Identifiers

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

Identifier	Type	State	Issuer
1972727402	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Secondary
207R00000X	Internal 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. acts as a billing entity for following providers:

Provider Name	Vincent M Koike
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1497843213 PECOS PAC ID: 0749276038 Enrollment ID: I20040422000441

Provider Name	Madhurina X Roy
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1013056787 PECOS PAC ID: 8729074125 Enrollment ID: I20040422000499

Reviews and Comments

Internal Medicine in Everett, WA

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- Medicare Primary Care in Everett, WA