| Optum - Eastside | |
|
1200 112th Ave Ne Ste C160 Bellevue WA 98004-3742 | |
| (425) 453-1039 | |
| Not Available |
| Full Name | Optum - Eastside |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 1200 112th Ave Ne Ste C160, Bellevue, Washington |
| Authorized Official Name and Position | George Go (BOARD PRESIDENT) |
| Authorized Official Contact | 4252590966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optum - Eastside Po Box 5127 Everett WA 98206-5127 Ph: (425) 453-1039 | Optum - Eastside 1200 112th Ave Ne Ste C160 Bellevue WA 98004-3742 Ph: (425) 453-1039 |
| NPI Number | 1689144388 |
|---|---|
| Provider Enumeration Date | 11/26/2018 |
| Last Update Date | 04/10/2024 |
| Medicare PECOS PAC ID | 6406752153 |
|---|---|
| Medicare Enrollment ID | O20181227000028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689144388 | NPI | - | NPPES |
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