| Katherine Marie Jackson, | |
|
825 Eastlake Ave E, Seattle, WA 98195-2303 | |
| (206) 520-5000 | |
| Not Available |
| Full Name | Katherine Marie Jackson |
|---|---|
| Gender | Female |
| Speciality | Surgery - Surgical Oncology |
| Location | 825 Eastlake Ave E, Seattle, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679952436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD61596450 (Washington) | Secondary |
| 2086X0206X | Surgery - Surgical Oncology | MD61596450 (Washington) | Primary |
| Entity Name | Inpatient Specialists Of California Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952792475 PECOS PAC ID: 3476864448 Enrollment ID: O20150617000915 |
| Entity Name | Providence Saint Johns Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770093734 PECOS PAC ID: 0840548624 Enrollment ID: O20180810000904 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Marie Jackson, Po Box 50095, Seattle, WA 98145-5095 Ph: () - | Katherine Marie Jackson, 825 Eastlake Ave E, Seattle, WA 98195-2303 Ph: (206) 520-5000 |
Dr. Matthew Alexander Johnston, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1221 E Madison St, Ste 1401, Seattle, WA 98122 Phone: 206-386-6702 | |
Dr. Emily Norpell Palmquist, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 825 Eastlake Ave E, Seattle, WA 98109 Phone: 206-520-5000 | |
Robert Dale Mcclure, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-223-6600 | |
Abigail K Wiebusch, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-341-0060 | |
Dewahar Senthoor, MD Surgery Medicare: Medicare Enrolled Practice Location: 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-520-5000 | |
Thomas R Biehl, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-223-6600 Fax: 206-515-5886 | |
Mr. Vimukta Mahadev, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Box 356410, Seattle, WA 98195 Phone: 714-397-5742 |