| Keria Madow, | |
|
1412 140th Pl Ne, Bellevue, WA 98007-3915 | |
| (425) 747-7892 | |
| Not Available |
| Full Name | Keria Madow |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 1412 140th Pl Ne, Bellevue, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689131476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LW61508686 (Washington) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Entity Name | King County Public Hospital District No 2 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801986070 PECOS PAC ID: 7618880097 Enrollment ID: O20031111000557 |
| Entity Name | Therapeutic Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144312877 PECOS PAC ID: 4284891052 Enrollment ID: O20120206000766 |
| Mailing Address | Practice Location Address |
|---|---|
| Keria Madow, 1412 140th Pl Ne, Bellevue, WA 98007-3915 Ph: Not Available | Keria Madow, 1412 140th Pl Ne, Bellevue, WA 98007-3915 Ph: (425) 747-7892 |
Susan Begin Burns, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2370 130th Ave Ne Ste 106, Bellevue, WA 98005 Phone: 425-881-9000 Fax: 425-746-8016 |
Ms. Jessica Kicha, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 112th Ave Se, Suite 100, Bellevue, WA 98004 Phone: 425-243-4722 |
Laci Jensen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11911 Ne 1st St Ste 205, Bellevue, WA 98005 Phone: 971-801-2054 |
Jonny Andrew Cragg, MA LMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 112th Ave Se Ste 202, Bellevue, WA 98004 Phone: 917-434-0855 |
Amy Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14216 Ne 21st St, Bellevue, WA 98007 Phone: 425-653-4900 |
Hsin Yu Yang, Counselor Medicare: Not Enrolled in Medicare Practice Location: 999 164th Ave Ne, Bellevue, WA 98008 Phone: 425-747-4937 |
Ellen Wastell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13555 Ne Bel Red Rd Ste 228, Bellevue, WA 98005 Phone: 206-901-2000 |