| Michelle Jacobs, DO, MPH | |
|
3927 Rucker Ave, Everett, WA 98201-4833 | |
| (425) 339-5422 | |
| (425) 339-5444 |
| Full Name | Michelle Jacobs |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 19 Years |
| Location | 3927 Rucker Ave, Everett, 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 |
|---|---|---|---|
| 1174766083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | OP60361069 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Select Outpatient Services Inc | 4082868815 | 750 |
| Select Rehabilitation, Llc | 9032020490 | 1935 |
| Optum Care Washington Pllc | 6406752153 | 684 |
| The Polyclinic Pllc | 2163328196 | 364 |
| Entity Name | The Polyclinic PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174594634 PECOS PAC ID: 2163328196 Enrollment ID: O20031210000788 |
| 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 |
|---|---|
| Michelle Jacobs, DO, MPH 7600 Evergreen Way, Everett, WA 98203-6421 Ph: (206) 860-5414 | Michelle Jacobs, DO, MPH 3927 Rucker Ave, Everett, WA 98201-4833 Ph: (425) 339-5422 |
Christopher Alawode, DO Preventive Medicine Medicare: Medicare Enrolled Practice Location: 4027 Hoyt Ave, Everett, WA 98201 Phone: 425-339-5489 Fax: 425-317-3689 |
Tsuzumi Kanaoka, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 4027 Hoyt Ave, Everett, WA 98201 Phone: 425-339-5489 |
Dr. Srivani Kanumuri, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 13020 Meridian Ave S Ste 205, Everett, WA 98208 Phone: 425-316-5155 Fax: 425-316-5156 |
Harold V. Stewart, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2930 Maple St, Everett, WA 98201 Phone: 425-261-1500 |
Dr. Mark Edward Beatty, Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 3020 Rucker Ave Ste 306, Everett, WA 98201 Phone: 425-339-8799 Fax: 425-339-5263 |
Dr. Vanessa Nicholson, M. D. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 12800 Bothell Everett Hwy, Everett, WA 98208 Phone: 425-316-5150 Fax: 425-225-1006 |
Dr. James R Enright, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-258-3903 Fax: 425-339-4238 |