| Kent Thien Ta, MD | |
|
1380 112th Ave Ne Ste 202, Bellevue, WA 98004-3759 | |
| (425) 590-9521 | |
| (425) 590-9574 |
| Full Name | Kent Thien Ta |
|---|---|
| Gender | Male |
| Speciality | Rheumatology |
| Experience | 29 Years |
| Location | 1380 112th Ave Ne Ste 202, Bellevue, 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 |
|---|---|---|---|
| 1508853003 | NPI | - | NPPES |
| 8390346 | Medicaid | WA | |
| 3247TA | Other | WA | REGENCE |
| 186101 | Other | WA | L I |
| P00337140 | Other | WA | PALMETTO RR MEDICARE |
| 5891740001 | Other | WA | DME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RR0500X | Internal Medicine - Rheumatology | MD00040870 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Evergreenhealth Home Care | Kirkland, WA | Home health agency |
| Overlake Hospital Medical Center | Bellevue, WA | Hospital |
| Evergreenhealth Medical Center | Kirkland, WA | Hospital |
| Entity Name | Eastside Rheumatology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578241139 PECOS PAC ID: 9638531999 Enrollment ID: O20230817003365 |
| Mailing Address | Practice Location Address |
|---|---|
| Kent Thien Ta, MD 1380 112th Ave Ne Ste 202, Bellevue, WA 98004-3759 Ph: (425) 590-9521 | Kent Thien Ta, MD 1380 112th Ave Ne Ste 202, Bellevue, WA 98004-3759 Ph: (425) 590-9521 |
Christine Chiu, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1135 116th Ave Ne Ste 450, Bellevue, WA 98004 Phone: 425-289-3130 | |
Joseph W Doucette, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1135 116th Ave Ne, Suite 600, Bellevue, WA 98004 Phone: 425-454-2656 Fax: 425-990-5261 | |
Roanne R E Selinger, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1135 116th Ave Ne, #560, Bellevue, WA 98004 Phone: 425-454-4768 Fax: 425-462-8021 | |
Patsy C Lazarous, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3000 Fax: 844-620-1839 | |
Dr. Patricia Martin, MD Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 1407 116th Ave Ne, Suite 200, Bellevue, WA 98004 Phone: 425-454-5046 Fax: 425-990-5261 | |
Dr. Rahil Barketali Roopani, M.D. Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 1800 116th Ave Ne Ste 102, Bellevue, WA 98004 Phone: 425-947-9485 Fax: 425-977-9034 | |
David C Morton, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1135 116th Ave Ne, Suite 110a, Bellevue, WA 98004 Phone: 425-289-3100 Fax: 425-289-3103 |