Stemwave Northwest Pllc is a medicare enrolled "Physical Medicine & Rehabilitation - Sports Medicine" provider in Seattle, Washington. Their current practice location is
9500 Roosevelt Way Ne Ste 302, Seattle, Washington. You can reach out to their office (for appointments etc.) via phone at
(206) 409-9447.
Stemwave Northwest Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Stemwave Northwest Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1649985466.
Healthcare Provider's Profile
| Full Name | Stemwave Northwest Pllc |
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| Type | Facility |
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| Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
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| Location | 9500 Roosevelt Way Ne Ste 302, Seattle, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1649985466
- Provider Enumeration Date: 01/16/2023
- Last Update Date: 01/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 9638542590
- Enrollment ID: O20230224001029
Medical Identifiers
Medical identifiers for Stemwave Northwest Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649985466 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Stemwave Northwest Pllc acts as a billing entity for following providers:
| Provider Name | Connie M Amundson |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1720031545
PECOS PAC ID: 2365464435
Enrollment ID: I20060104000051 |
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| Provider Name | Galina S Dixon |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1801125125
PECOS PAC ID: 1456664432
Enrollment ID: I20150720002664 |
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| Provider Name | Anne Marie Fombu |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1245828383
PECOS PAC ID: 2769853852
Enrollment ID: I20230127002508 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stemwave Northwest Pllc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Stemwave Northwest Pllc
9500 Roosevelt Way Ne Ste 302,
Seattle, WA 98115-2253
Ph: (206) 409-9447 | Stemwave Northwest Pllc
9500 Roosevelt Way Ne Ste 302,
Seattle, WA 98115-2253
Ph: (206) 409-9447 |
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