Beena L Morris, MD | |
19200 N Kelsey St, Monroe, WA 98272-1431 | |
(360) 794-7994 | |
(360) 805-4757 |
Full Name | Beena L Morris |
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Gender | Female |
Speciality | Pediatrics |
Location | 19200 N Kelsey St, Monroe, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073614376 | NPI | - | NPPES |
8110041 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD00039376 (Washington) | Primary |
Entity Name | Providence Health & Services-washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111 |
Mailing Address | Practice Location Address |
---|---|
Beena L Morris, MD Po Box 3360, Portland, OR 97208-3360 Ph: (866) 366-2983 | Beena L Morris, MD 19200 N Kelsey St, Monroe, WA 98272-1431 Ph: (360) 794-7994 |
Badrossadat Madani, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14701 179th Ave Se, Monroe, WA 98272 Phone: 360-863-4664 Fax: 360-860-4663 | |
Dr. Kristen Gill, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 19200 N Kelsey St, Monroe, WA 98272 Phone: 360-794-7994 | |
Dr. Jacob Alex Mathew Varghese, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 19200 N Kelsey St, Monroe, WA 98272 Phone: 360-794-7994 Fax: 360-805-4757 |