Optum - Totem Lake | |
11800 Ne 128th St Ste 560 Kirkland WA 98034-7208 | |
(425) 899-5200 | |
(425) 899-5204 |
Full Name | Optum - Totem Lake |
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Speciality | Durable Medical Equipment & Medical Supplies |
Location | 11800 Ne 128th St Ste 560, Kirkland, 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 |
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Optum - Totem Lake Po Box 5127 Everett WA 98206-5127 Ph: (425) 304-8431 | Optum - Totem Lake 11800 Ne 128th St Ste 560 Kirkland WA 98034-7208 Ph: (425) 899-5200 |
NPI Number | 1598205908 |
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Provider Enumeration Date | 03/03/2017 |
Last Update Date | 04/10/2024 |
Medicare PECOS PAC ID | 6406752153 |
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Medicare Enrollment ID | O20170516002595 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598205908 | NPI | - | NPPES |
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