| Lori A Starke, MD | |
|
34515 9th Ave S, Federal Way, WA 98003-6761 | |
| (253) 952-7971 | |
| (253) 944-7922 |
| Full Name | Lori A Starke |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 21 Years |
| Location | 34515 9th Ave S, Federal Way, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710925995 | NPI | - | NPPES |
| 0225601 | Other | WA | LIWA |
| US9643128 | Other | WA | AETNA PCP PIN VM |
| 8491177 | Medicaid | WA | |
| 2643296 | Medicaid | OH | |
| 5476ST | Other | WA | BSWA |
| 5971ST | Other | WA | BSWA |
| 9613ST | Other | WA | BSWA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 35087280 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Presbyterian Hospital | Albuquerque, NM | Hospital |
| Mimbres Memorial Hospital | Deming, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fedko Emergency Physicians New Mexico, Llc | 4880934389 | 40 |
| Presbyterian Healthcare Services | 9234041708 | 1179 |
| Entity Name | Presbyterian Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
| Entity Name | Fedko Emergency Physicians New Mexico, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770047441 PECOS PAC ID: 4880934389 Enrollment ID: O20190320001146 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori A Starke, MD 505 S 336th Street, Ste 600, Federal Way, WA 98003-6328 Ph: (253) 838-6180 | Lori A Starke, MD 34515 9th Ave S, Federal Way, WA 98003-6761 Ph: (253) 952-7971 |
Fredric T Lo, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 34515 9th Avenue South, Federal Way, WA 98003 Phone: 253-952-7971 Fax: 253-944-7922 | |
Lysa Susanne Ward, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 34515 9th Ave S, Federal Way, WA 98003 Phone: 253-838-9700 Fax: 253-838-6418 | |
Richard Alan Bethke, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 505 S 336th St, Suite 600, Federal Way, WA 98003 Phone: 360-299-1300 Fax: 360-299-1312 | |
Trevor Takami, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 34515 9th Ave S, Federal Way, WA 98003 Phone: 253-944-8100 | |
Andrea S Drenguis, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 34515 9th Ave S, Federal Way, WA 98003 Phone: 253-838-9700 | |
Michelle Joy Holm, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 34515 9th Ave S, Emergency Medicine Department, Federal Way, WA 98003 Phone: 253-944-7971 | |
Rafael A Gonzalez-vizoso, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3455 S 344th Way, Suite 210, Federal Way, WA 98001 Phone: 180-033-6861 Fax: 253-838-6418 |