| Denise Shushan, MD | |
|
4420 76th St Ne, Marysville, WA 98270-3726 | |
| (360) 651-7482 | |
| (360) 651-7482 |
| Full Name | Denise Shushan |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 4420 76th St Ne, Marysville, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295823797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD00039168 (Washington) | Primary |
| Entity Name | Seattle Childrens Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003319500 PECOS PAC ID: 9032021050 Enrollment ID: O20031211000532 |
| Mailing Address | Practice Location Address |
|---|---|
| Denise Shushan, MD Po Box 5127, Everett, WA 98206-5127 Ph: (425) 258-3900 | Denise Shushan, MD 4420 76th St Ne, Marysville, WA 98270-3726 Ph: (360) 651-7482 |
Dr. Sarah Eva Bergman Lewis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2901 174th St Ne, Marysville, WA 98271 Phone: 360-454-1900 | |
Sophia Shiau, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4420 76th St Ne, Marysville, WA 98270 Phone: 360-651-7492 Fax: 360-651-7482 | |
Michael Su, Pediatrics Medicare: Medicare Enrolled Practice Location: 2901 174th St Ne, Marysville, WA 98271 Phone: 360-454-1900 Fax: 360-454-1991 | |
Anna Jain, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8923 Soper Hill Rd, Marysville, WA 98270 Phone: 425-397-1702 Fax: 425-397-1750 | |
Minkyung Shin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4420 76th St Ne, Marysville, WA 98270 Phone: 360-651-7492 Fax: 360-651-7482 | |
Cheryl Nirmali De Silva, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8923 Soper Hill Rd, Marysville, WA 98270 Phone: 425-397-1702 Fax: 425-397-1750 |