| Tomas M Axtelle, MA | |
|
5455 Almira Dr Se, Bremerton, WA 98311-8330 | |
| (360) 373-5031 | |
| Not Available |
| Full Name | Tomas M Axtelle |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 5455 Almira Dr Se, Bremerton, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568505253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | RC00038765 (Washington) | Primary |
| Entity Name | Suquamish Tribal |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083747216 PECOS PAC ID: 3173975893 Enrollment ID: O20240216001062 |
| Mailing Address | Practice Location Address |
|---|---|
| Tomas M Axtelle, MA 5455 Almira Dr Se, Bremerton, WA 98311-8330 Ph: (360) 373-5031 | Tomas M Axtelle, MA 5455 Almira Dr Se, Bremerton, WA 98311-8330 Ph: (360) 373-5031 |
Matthew D Eisenhower, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 5455 Almira Dr Ne, Bremerton, WA 98311 Phone: 360-373-5031 | |
Jessica Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5610 Kitsap Way Ste 320, Bremerton, WA 98312 Phone: 360-792-2020 | |
Mrs. Renee Michele Mills, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4040 Wheaton Way Ste 212, Bremerton, WA 98310 Phone: 360-415-3926 | |
Mrs. Anna Bresette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5455 Almira Dr Ne, Bremerton, WA 98311 Phone: 360-373-5031 | |
Susan Gwendolyn Visco, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3015 Trenton Ave, Bremerton, WA 98310 Phone: 253-858-4200 | |
Chunisty Richardson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5455 Almira Dr Ne, Bremerton, WA 98311 Phone: 360-415-5870 | |
Marion Crie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5455 Almira Dr Ne, Bremerton, WA 98311 Phone: 360-415-5870 |