| Jimy E Gillette, MD | |
|
19116 33rd Ave W, Lynnwood, WA 98036-4706 | |
| (425) 771-7500 | |
| (425) 712-7903 |
| Full Name | Jimy E Gillette |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 30 Years |
| Location | 19116 33rd Ave W, Lynnwood, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821108713 | NPI | - | NPPES |
| 8390767 | Medicaid | WA | |
| 0039581 | Other | WA | LABOR & INDUSTRY |
| 6914GI | Other | WA | BLUE SHIELD |
| US7405495 | Other | WA | AETNA/USHC SPECIALIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD00043162 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Evergreenhealth Home Care | Kirkland, WA | Home health agency |
| Virginia Mason Medical Center | Seattle, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Select Outpatient Services Inc | 4082868815 | 606 |
| Select Rehabilitation Llc | 9032020490 | 1538 |
| Virginia Mason Medical Center | 9830002617 | 839 |
| Entity Name | Virginia Mason Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801851258 PECOS PAC ID: 9830002617 Enrollment ID: O20031107000383 |
| Mailing Address | Practice Location Address |
|---|---|
| Jimy E Gillette, MD 1100 Olive Way Msc M4-pa, Seattle, WA 98101-1873 Ph: () - | Jimy E Gillette, MD 19116 33rd Ave W, Lynnwood, WA 98036-4706 Ph: (425) 771-7500 |
Edward Kachun Kong, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19116 33rd Ave W, Lynnwood, WA 98036 Phone: 425-712-7900 Fax: 425-712-7905 | |
Kristie L Blade, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 19116 33rd Ave W, Lynnwood, WA 98036 Phone: 425-771-7500 Fax: 425-712-7903 | |
Chitra Manickam, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 20200 54th Ave W, Lynnwood, WA 98036 Phone: 425-672-6400 | |
David E Stage, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 19116 33rd Ave W, Lynnwood, WA 98036 Phone: 425-771-7500 | |
Carrie Bryant, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19116 33rd Ave W, Lynnwood, WA 98036 Phone: 425-712-7900 Fax: 425-712-7903 | |
Dr. Robert E. Ingham, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 18631 Alderwood Mall Pkwy Ste 310, Lynnwood, WA 98037 Phone: 425-774-8251 | |
Januario Paynor Estrada Iv, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19401 40th Ave W Ste 230, Lynnwood, WA 98036 Phone: 224-595-5388 |