Timothy Edmonds O'meara, MD | |
3927 Rucker Ave, Everett, WA 98201-4833 | |
(425) 259-0966 | |
Not Available |
Full Name | Timothy Edmonds O'meara |
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Gender | Male |
Speciality | Pediatrics |
Location | 3927 Rucker Ave, Everett, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457593923 | NPI | - | NPPES |
2022001 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 60274594 (Washington) | Primary |
Entity Name | Optum Care Washington Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 |
Mailing Address | Practice Location Address |
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Timothy Edmonds O'meara, MD Po Box 5127, Everett, WA 98206-5127 Ph: (425) 258-3900 | Timothy Edmonds O'meara, MD 3927 Rucker Ave, Everett, WA 98201-4833 Ph: (425) 259-0966 |
Sandra Liu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-259-0966 | |
Dr. Leah E Hastings, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1818 121st St Se, Everett, WA 98208 Phone: 425-357-3300 Fax: 425-357-3317 | |
Dr. Amy Wang Johnson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1424 Broadway, Everett, WA 98201 Phone: 425-789-2000 Fax: 425-789-2096 | |
Ashaini Kadakia, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2930 Maple St, Everett, WA 98201 Phone: 425-261-1500 Fax: 425-261-1515 | |
David Luba, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1818 121st St Se, Everett, WA 98208 Phone: 425-357-3302 | |
Judith H. Kuo, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12800 Bothell Everett Hwy, Suite 190, Everett, WA 98208 Phone: 425-316-5160 Fax: 425-316-5163 | |
Dr. Ruth Ann Parish, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1424 Broadway, Everett, WA 98201 Phone: 425-789-2000 Fax: 425-789-2096 |