| Kenneth C Elam, MD | |
|
3927 Rucker Ave, Everett, WA 98201-4833 | |
| (425) 339-5422 | |
| Not Available |
| Full Name | Kenneth C Elam |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 3927 Rucker Ave, Everett, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942335146 | NPI | - | NPPES |
| 8142655 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD00013741 (Washington) | Primary |
| Entity Name | Kaiser Foundation Health Plan Of Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
| 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 |
|---|---|
| Kenneth C Elam, MD 2930 Maple St, Everett, WA 98201-3832 Ph: (425) 261-1500 | Kenneth C Elam, MD 3927 Rucker Ave, Everett, WA 98201-4833 Ph: (425) 339-5422 |
Arunachalam Einstein, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1321 Colby Ave, Everett, WA 98201 Phone: 425-261-2000 | |
Daniel A Zak, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1321 Colby Ave, Everett, WA 98201 Phone: 425-261-2000 | |
James Goldberg, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1716 W Marine View Dr Ste C, Everett, WA 98201 Phone: 425-259-0212 | |
Dr. Joseph Primo Mazzoncini Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 13th St, Everett, WA 98201 Phone: 425-261-2000 | |
Eric Cooper, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1321 Colby Ave, Everett, WA 98201 Phone: 425-261-2000 | |
Priyanka Malini Ravindran, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1321 Colby Ave, Everett, WA 98201 Phone: 425-261-2000 | |
Cynthia A Markus, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1321 Colby Ave, Everett, WA 98201 Phone: 425-261-2000 |