| Jessica Riese, MD | |
|
10004 204th Ave E # 130, Bonney Lake, WA 98391-6539 | |
| (253) 848-8797 | |
| (253) 845-1114 |
| Full Name | Jessica Riese |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 10004 204th Ave E # 130, 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 |
|---|---|---|---|
| 1417576950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD61438794 (Washington) | Primary |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Riese, MD Po Box 5299, Ms: 820-5-pco, Tacoma, WA 98415-0299 Ph: () - | Jessica Riese, MD 10004 204th Ave E # 130, Bonney Lake, WA 98391-6539 Ph: (253) 848-8797 |
Jennie G Hendrie, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10004 204th Ave E, Suite 1300, Bonney Lake, WA 98391 Phone: 253-848-8797 Fax: 253-826-1264 | |
Sharon Rh Santos, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10004 204th Ave E, Suite 1300, Bonney Lake, WA 98391 Phone: 253-848-8797 Fax: 253-826-1264 | |
Joan C Tsang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9230 Sky Island Dr E, Bonney Lake, WA 98391 Phone: 253-750-6000 Fax: 253-750-6100 | |
Brian J Schoos, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10004 204th Ave E, Suite 1300, Bonney Lake, WA 98391 Phone: 253-848-8797 Fax: 253-826-1264 | |
Michele Yi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10004 204th Ave E, Suite 1300, Bonney Lake, WA 98391 Phone: 253-848-8797 Fax: 253-845-0100 | |
Heather Lynn Cooper, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10004 204th Ave E, Suite 1300, Bonney Lake, WA 98391 Phone: 253-848-8797 Fax: 253-826-1264 |