| Gregory Wisont, RDN | |
|
12901 20th Ave S, Seatac, WA 98168-5159 | |
| (206) 720-3987 | |
| (206) 292-2163 |
| Full Name | Gregory Wisont |
|---|---|
| Gender | Male |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 7 Years |
| Location | 12901 20th Ave S, Seatac, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013692771 | NPI | - | NPPES |
| 60974846 | Other | WA | CD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 60974846 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwest Kidney Centers | 5799673679 | 3 |
| Provider Name | Northwest Kidney Centers |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700025038 PECOS PAC ID: 5799673679 Enrollment ID: O20040310001096 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Wisont, RDN 16910 Ne 131st Pl, Redmond, WA 98052-2189 Ph: (360) 969-3698 | Gregory Wisont, RDN 12901 20th Ave S, Seatac, WA 98168-5159 Ph: (206) 720-3987 |
Jennifer Roth, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12901 20th Ave S, Seatac, WA 98168 Phone: 425-248-7162 |
Katherine Matias, R.D. Dietitian Medicare: May Accept Medicare Assignments Practice Location: 12901 20th Ave S, Seatac, WA 98168 Phone: 206-720-3987 |
Bethany L Ingersoll, MS, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 12901 20th Ave S, Seatac, WA 98168 Phone: 206-292-2771 |
Adriane Ziemer, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4040 S 188th St Ste 201, Seatac, WA 98188 Phone: 206-277-7200 |
Jocelyn Naide, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 12901 20th Ave S, Seatac, WA 98168 Phone: 206-292-2771 |
Brianne M Kappel, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4040 S 188th St, Suite 201, Seatac, WA 98188 Phone: 206-229-2933 |
Genevieve Bianca Phillips, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12901 20th Ave S, Seatac, WA 98168 Phone: 206-901-8758 |