| Dr Jake Harley Choiniere, DO | |
|
751 Ne Blakely Dr Ste 5010, Issaquah, WA 98029 | |
| (425) 394-0700 | |
| (425) 394-0701 |
| Full Name | Dr Jake Harley Choiniere |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 15 Years |
| Location | 751 Ne Blakely Dr Ste 5010, Issaquah, 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 |
|---|---|---|---|
| 1578882452 | NPI | - | NPPES |
| 1578882452 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | OP60437091 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Swedish Health Services | 9537072814 | 323 |
| Entity Name | Swedish Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831139724 PECOS PAC ID: 9537072814 Enrollment ID: O20031112000189 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20040311001453 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104097906 PECOS PAC ID: 0648183608 Enrollment ID: O20080630000201 |
| Entity Name | Providence Health & Services - Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922259738 PECOS PAC ID: 2860552973 Enrollment ID: O20081223000478 |
| Entity Name | Providence Health & Services-washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111 |
| Entity Name | Providence Medical Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760425862 PECOS PAC ID: 5991609737 Enrollment ID: O20190109001974 |
| Entity Name | Providence Health & Services-washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093956278 PECOS PAC ID: 1557408176 Enrollment ID: O20190123001516 |
| Entity Name | Providence Health & Services Mt |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215222617 PECOS PAC ID: 6608786306 Enrollment ID: O20190128001139 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jake Harley Choiniere, DO Po Box 25608, Salt Lake City, UT 84125-0608 Ph: (206) 320-4476 | Dr Jake Harley Choiniere, DO 751 Ne Blakely Dr Ste 5010, Issaquah, WA 98029 Ph: (425) 394-0700 |
Dr. David Preston Shaw, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 470 Front St N, Issaquah, WA 98027 Phone: 425-392-0654 Fax: 425-392-8979 | |
Dr. Ronald Lincoln Furedy, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2375 Squak Mountain Loop Sw, Issaquah, WA 98027 Phone: 425-657-0023 Fax: 425-449-5938 | |
Olga Klachkovich, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 100 Ne Gilman Blvd, Issaquah, WA 98027 Phone: 425-557-8000 Fax: 425-557-8014 | |
Dr. Thomas Downing Meacham, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 22525 Se 64th Pl Ste 140, Issaquah, WA 98027 Phone: 425-654-5433 | |
Ms. Heidi S Summers, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5825 221st Place Se, Ste 201, Issaquah, WA 98027 Phone: 206-431-5336 Fax: 206-431-5430 |