| Dr Queen Adaeze Wahiwe, MD | |
|
5006 Center St Ste R, Tacoma, WA 98409-2314 | |
| (888) 405-6396 | |
| (415) 252-7176 |
| Full Name | Dr Queen Adaeze Wahiwe |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 16 Years |
| Location | 5006 Center St Ste R, Tacoma, 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 |
|---|---|---|---|
| 1508183104 | NPI | - | NPPES |
| 2029974 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD60403550 (Washington) | Primary |
| 207Q00000X | Family Medicine | 164997 (North Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Multicare Good Samaritan Hospital | Puyallup, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sea Mar Community Health Centers | 7315831161 | 235 |
| Iora Health Washington Physicians Pc | 1355614421 | 36 |
| Entity Name | Healthpoint |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831199454 PECOS PAC ID: 9335042886 Enrollment ID: O20040206000245 |
| Entity Name | Sea Mar Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811051170 PECOS PAC ID: 7315831161 Enrollment ID: O20040211001210 |
| Entity Name | Iora Senior Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710386545 PECOS PAC ID: 0143520189 Enrollment ID: O20160111002301 |
| Entity Name | Iora Health Washington Physicians PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023547072 PECOS PAC ID: 1355614421 Enrollment ID: O20170912001896 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Queen Adaeze Wahiwe, MD 5006 Center St Ste R, Tacoma, WA 98409-2314 Ph: Not Available | Dr Queen Adaeze Wahiwe, MD 5006 Center St Ste R, Tacoma, WA 98409-2314 Ph: (888) 405-6396 |
Dr. Kristina Siu Petsas, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 |
Mrs. Anne Garces Laporte, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 |
James M Roos, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1000 |
Dr. Myra Haq, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2209 E 32nd St, Tacoma, WA 98404 Phone: 253-441-2634 |
Loren B Betteridge, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3733 S Thompson Ave, Tacoma, WA 98418 Phone: 253-472-4473 Fax: 253-474-3056 |
Dr. Thuy-tien V Le, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 732 Broadway Ste 201, Tacoma, WA 98402 Phone: 702-871-8535 Fax: 941-499-0035 |
Alexander K Lee, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-459-7785 |