| Jennifer Brooke Luginbill, | |
|
15418 Main St Ste 200, Mill Creek, WA 98012-9030 | |
| (425) 225-8002 | |
| (425) 225-8021 |
| Full Name | Jennifer Brooke Luginbill |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 15418 Main St Ste 200, Mill Creek, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598119646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD60945858 (Washington) | Primary |
| Entity Name | Optum Care Washington Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Brooke Luginbill, 7600 Evergreen Way, Everett, WA 98203-6421 Ph: (206) 860-5414 | Jennifer Brooke Luginbill, 15418 Main St Ste 200, Mill Creek, WA 98012-9030 Ph: (425) 225-8002 |
Allyson Hana Mei-yan Koh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 805 164th St Se Ste 100, Mill Creek, WA 98012 Phone: 425-354-4296 Fax: 425-332-3495 | |
Sarah Teresita Vega, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 805 164th St Se Ste 100, Mill Creek, WA 98012 Phone: 425-354-4296 | |
Rebecca Denise Kolsky, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15418 Main St, Mill Creek, WA 98012 Phone: 425-225-8020 | |
Akiko Hall, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15418 Main St Ste 200, Mill Creek, WA 98012 Phone: 425-225-8002 Fax: 425-225-8021 | |
Sara Tamarin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15418 Main St Unit 200, Mill Creek, WA 98012 Phone: 425-225-8002 Fax: 425-225-8021 | |
Brandi Lea Irwin, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 805 164th Street Se, Suite 100, Mill Creek, WA 98012 Phone: 425-354-4296 Fax: 425-332-3495 |