| Dr Julie A Komarow, MD | |
|
10004 204th Ave E, #3400, Bonney Lake, WA 98391-6539 | |
| (253) 848-5951 | |
| (253) 845-7073 |
| Full Name | Dr Julie A Komarow |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 10004 204th Ave E, Bonney Lake, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295757862 | NPI | - | NPPES |
| 1016963 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00021737 (Washington) | Primary |
| Entity Name | South Hill Family Medicine Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538253331 PECOS PAC ID: 8729980396 Enrollment ID: O20040123000443 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Julie A Komarow, MD 3908 10th St Se, Puyallup, WA 98374-2188 Ph: (253) 286-4112 | Dr Julie A Komarow, MD 10004 204th Ave E, #3400, Bonney Lake, WA 98391-6539 Ph: (253) 848-5951 |
Andrea Marie Lynde, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 9230 Sky Island Dr E Fl 2, Bonney Lake, WA 98391 Phone: 253-750-6000 Fax: 253-750-6100 | |
Ms. Ericka Gilson, ARNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8415 Myers Rd E, Bonney Lake, WA 98391 Phone: 253-600-7170 Fax: 253-237-9444 | |
Maria Rochelle Carreon Martin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9230 Sky Island Dr E, Bonney Lake, WA 98391 Phone: 253-750-6000 Fax: 253-750-6100 | |
Dr. Nicholas C Welter, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9230 Sky Island Dr E, Bonney Lake, WA 98391 Phone: 253-750-6000 Fax: 253-750-6100 | |
Dr. Archana Madhuri Rajan, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9230 Sky Island Dr E, Bonney Lake, WA 98391 Phone: 253-750-6000 Fax: 253-426-6344 | |
Dr. Susan E Mcdonald, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10004 204th Ave E, #3400, Bonney Lake, WA 98391 Phone: 253-848-5951 Fax: 253-845-7073 |