| Courtney Marie Kennel, DO | |
|
5920 100th St Sw, Suite 31, Lakewood, WA 98499-2751 | |
| (253) 584-3023 | |
| (253) 582-1222 |
| Full Name | Courtney Marie Kennel |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 13 Years |
| Location | 5920 100th St Sw, Lakewood, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912261447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OP60413256 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Puget Sound Home Health | Tacoma, WA | Home health agency |
| Kindred At Home | Tacoma, WA | Home health agency |
| Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
| Multicare Good Samaritan Hospital | Puyallup, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwest Physicians Medical Group, Pllc | 3173796703 | 4 |
| Select Outpatient Services Inc | 4082868815 | 606 |
| Select Rehabilitation Llc | 9032020490 | 1538 |
| Entity Name | Northwest Physicians Medical Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043513435 PECOS PAC ID: 3173796703 Enrollment ID: O20111027000149 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Marie Kennel, DO 5920 100th St Sw, Suite 26c, Lakewood, WA 98499-2751 Ph: (253) 830-2030 | Courtney Marie Kennel, DO 5920 100th St Sw, Suite 31, Lakewood, WA 98499-2751 Ph: (253) 584-3023 |
Kristy A Walton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5700 100th St Sw Ste 510, Lakewood Clinic, Lakewood, WA 98499 Phone: 253-459-6060 Fax: 253-459-6064 | |
Dr. Yilei Gu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11307 Bridgeport Way Sw Ste 200, Lakewood, WA 98499 Phone: 253-985-6688 Fax: 253-922-5299 | |
Constance Blair Campbell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10510 Gravelly Lake Dr Sw, Lakewood, WA 98499 Phone: 253-589-7030 Fax: 253-589-7033 | |
Frida Rineth Pena Benitez, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 10510 Gravelly Lake Dr Sw, Lakewood, WA 98499 Phone: 253-589-7030 Fax: 253-589-7033 | |
Micah Atwood, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 5700 100th St Sw Ste 510, Lakewood, WA 98499 Phone: 253-792-6526 Fax: 253-459-6065 | |
Dr. Lynn Fioretti, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 10510 Gravelly Lake Drive, Lakewood, WA 98499 Phone: 253-589-7030 Fax: 253-589-7033 | |
Scott Anthony Trapman, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8511 S Tacoma Way # 200, Lakewood, WA 98499 Phone: 253-588-4015 Fax: 253-588-4035 |