| Wise Patient Internal Medicine | |
|
613 19th Ave E Ste 201 Seattle WA 98112-4075 | |
| (206) 437-2884 | |
| Not Available |
| Full Name | Wise Patient Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 613 19th Ave E, Seattle, Washington |
| Authorized Official Name and Position | Sam Warren (CEO, FOUNDER) |
| Authorized Official Contact | 2064665937 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wise Patient Internal Medicine 613 19th Ave E Suite 201 Seattle WA 98112-4075 Ph: (206) 466-5937 | Wise Patient Internal Medicine 613 19th Ave E Ste 201 Seattle WA 98112-4075 Ph: (206) 437-2884 |
| NPI Number | 1568720126 |
|---|---|
| Provider Enumeration Date | 05/01/2012 |
| Last Update Date | 06/29/2023 |
| Medicare PECOS PAC ID | 7911157557 |
|---|---|
| Medicare Enrollment ID | O20121017000409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568720126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 41388 (Washington) | Primary |
| Provider Name | Samuel A Warren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619053436 PECOS PAC ID: 7012815129 Enrollment ID: I20031229000337 |
| Provider Name | Rachel D Beda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073699872 PECOS PAC ID: 0840279691 Enrollment ID: I20040715001207 |
| Provider Name | David J Roesel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073693065 PECOS PAC ID: 6608897640 Enrollment ID: I20051219000083 |
| Provider Name | Jodie C Wohl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942373824 PECOS PAC ID: 9931094158 Enrollment ID: I20100316000101 |
| Provider Name | Janna K Cuneo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528451192 PECOS PAC ID: 9638473382 Enrollment ID: I20160201002121 |
| Provider Name | Nazlee Navabi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164849261 PECOS PAC ID: 8022336593 Enrollment ID: I20170707003019 |
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