| Dr Jennifer Michelle Devine, MD | |
|
1740 Nw Maple St, Suite 111, Issaquah, WA 98027 | |
| (425) 394-1200 | |
| (425) 394-0100 |
| Full Name | Dr Jennifer Michelle Devine |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 1740 Nw Maple St, Issaquah, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255527610 | NPI | - | NPPES |
| 2014424 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 238264 (Massachusetts) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | MD60246597 (Washington) | Primary |
| Entity Name | Overlake Medical Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801828421 PECOS PAC ID: 7012808827 Enrollment ID: O20040322001533 |
| Entity Name | Integrated Rehab Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528379195 PECOS PAC ID: 7810184892 Enrollment ID: O20160406000570 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer Michelle Devine, MD Ms 315010, Po Box 3947, Seattle, WA 98124-3947 Ph: (425) 688-5670 | Dr Jennifer Michelle Devine, MD 1740 Nw Maple St, Suite 111, Issaquah, WA 98027 Ph: (425) 394-1200 |
Dr. Igor Uritskiy, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1740 Nw Maple St, Ste 111, Issaquah, WA 98027 Phone: 425-394-1200 Fax: 425-394-0100 | |
Dr. Kevin Andrew Berry, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1740 Nw Maple St, Suite 111, Issaquah, WA 98027 Phone: 425-394-1200 Fax: 425-394-0100 | |
Salony Majmudar, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 805 Front St S, Issaquah, WA 98027 Phone: 425-392-1271 | |
Mrs. Catyann Ikuko Parker, PT, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 710 Nw Juniper St Ste 104, Issaquah, WA 98027 Phone: 425-392-7989 | |
Dr. Bimei Zhao, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 5988 Mont Blanc Pl Nw, Issaquah, WA 98027 Phone: 425-279-3349 | |
Dr. Angela Marie Tripp, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 751 Ne Blakely Dr, Suite 4020, Issaquah, WA 98029 Phone: 425-498-2272 Fax: 425-498-2334 |