Whidbey Medical Clinic Pllc | |
231 Se Barrington Dr Suite 209 Oak Harbor WA 98277-3200 | |
(360) 679-3161 | |
(360) 679-1741 |
Full Name | Whidbey Medical Clinic Pllc |
---|---|
Speciality | Clinic/Center |
Location | 231 Se Barrington Dr, Oak Harbor, Washington |
Authorized Official Name and Position | Robert L Lycksell (OWNER) |
Authorized Official Contact | 3606793161 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Whidbey Medical Clinic Pllc 231 Se Barrington Dr Suite 209 Oak Harbor WA 98277-3200 Ph: (360) 679-3161 | Whidbey Medical Clinic Pllc 231 Se Barrington Dr Suite 209 Oak Harbor WA 98277-3200 Ph: (360) 679-3161 |
NPI Number | 1548260177 |
---|---|
Provider Enumeration Date | 07/26/2005 |
Last Update Date | 12/04/2009 |
Medicare PECOS PAC ID | 5890683031 |
---|---|
Medicare Enrollment ID | O20040309000368 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548260177 | NPI | - | NPPES |
S57923 | Other | WA | BLUE CROSS/SHIELD |
CC9056 | Other | WA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Zayan Kanjo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407830441 PECOS PAC ID: 4486759719 Enrollment ID: I20100719000131 |
Provider Name | Robert Lee Lycksell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922085901 PECOS PAC ID: 9032214366 Enrollment ID: I20100719000153 |
Provider Name | Michael David Thorpe |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578666848 PECOS PAC ID: 9133297336 Enrollment ID: I20160818002289 |
Whidbey Island Public Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 Se Cabot Dr, Suite B101, Oak Harbor, WA 98277 Phone: 360-679-4121 Fax: 360-675-3091 | |
Whidbey Community Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 Se Cabot Dr, Suite B101, Oak Harbor, WA 98277 Phone: 360-675-6648 Fax: 360-679-9310 | |
Whidbeyhealth Primary Care-goldie St. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1300 Ne Goldie St, Oak Harbor, WA 98277 Phone: 360-679-5590 Fax: 360-240-4029 | |
Sea Mar Chc Oak Harbor Sud Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 Se Ireland St, Oak Harbor, WA 98277 Phone: 360-679-7676 Fax: 360-682-5947 | |
Oak Harbor Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 Se Ireland St, Oak Harbor, WA 98277 Phone: 360-675-7678 Fax: 360-279-0614 | |
Oak Harbor Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 Se Ireland St, Oak Harbor, WA 98277 Phone: 360-675-7678 Fax: 360-279-0614 |