| Dr Josef Edrik Keith Abiog Bautista, MD | |
|
2707 Colby Ave Ste 718, Everett, WA 98201-3564 | |
| (425) 339-5413 | |
| (425) 339-4213 |
| Full Name | Dr Josef Edrik Keith Abiog Bautista |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 16 Years |
| Location | 2707 Colby Ave Ste 718, Everett, 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 |
|---|---|---|---|
| 1700131125 | NPI | - | NPPES |
| 2157737 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | MD15199 (Rhode Island) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | MD61032416 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Puget Sound Kidney Center | Everett, WA | Dialysis facility |
| Mill Creek Dialysis Center | Bothell, WA | Dialysis facility |
| Puget Sound Kidney Center Whidbey Island | Oak harbor, WA | Dialysis facility |
| Puget Sound Kidney Center Smokey Point | Arlington, WA | Dialysis facility |
| Providence Regional Medical Center Everett | Everett, WA | Hospital |
| Skagit Valley Hospital | Mount vernon, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Snokidney Pllc | 7911349295 | 6 |
| Entity Name | South Sound Inpatient Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023285756 PECOS PAC ID: 5991618738 Enrollment ID: O20031107000668 |
| Entity Name | Swedish Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689612954 PECOS PAC ID: 0244138196 Enrollment ID: O20031230000187 |
| Entity Name | Cogent Healthcare Of Washington, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861430522 PECOS PAC ID: 2062306350 Enrollment ID: O20040209000839 |
| Entity Name | Pacific Kidney & Hypertension Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619460268 PECOS PAC ID: 1759513468 Enrollment ID: O20170215002090 |
| Entity Name | Hospitalist Medicine Physicians Of California - San Leandro, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689210874 PECOS PAC ID: 8224466172 Enrollment ID: O20200309000136 |
| Entity Name | Snokidney Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528810843 PECOS PAC ID: 7911349295 Enrollment ID: O20240531003113 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Josef Edrik Keith Abiog Bautista, MD 1840 E Ray Rd, Chandler, AZ 85225-8720 Ph: (553) 970-1978 | Dr Josef Edrik Keith Abiog Bautista, MD 2707 Colby Ave Ste 718, Everett, WA 98201-3564 Ph: (425) 339-5413 |
Timothy Edward Mcnamara, Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1001 N Broadway, Suite A3, Everett, WA 98201 Phone: 425-317-0300 Fax: 425-317-0303 | |
Dr. Kurt R. Duffens, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3927 Rucker Ave, Everett, WA 98201 Phone: 425-339-5422 Fax: 425-339-5444 | |
Dr. Madhurina Roy, M.D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 9505 19th Ave Se, Ste 100, Everett, WA 98208 Phone: 425-225-6721 Fax: 425-225-6725 | |
Dr. Kavyashri Kodlipet Jagadeesh, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1330 Rockefeller Ave Ste 210, Everett, WA 98201 Phone: 425-261-4940 Fax: 425-261-4932 | |
Amy D Nelson, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2930 Maple St, Everett, WA 98201 Phone: 425-261-1500 Fax: 425-261-1515 | |
Ya-lan Huang, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 12728 19th Ave Se Ste 300, Everett, WA 98208 Phone: 425-252-6801 Fax: 425-258-1944 | |
Mahesh Mulumudi, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-339-5411 |