| Mrs Katerina Stursova-wolff, MD | |
|
8910 Vernon Rd, Lake Stevens, WA 98258-2400 | |
| (425) 397-1702 | |
| (425) 335-5145 |
| Full Name | Mrs Katerina Stursova-wolff |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 8910 Vernon Rd, Lake Stevens, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386620896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD60451748 (Washington) | Primary |
| 208000000X | Pediatrics | 216086 (Massachusetts) | Secondary |
| Entity Name | The Association Of Chrmc And University Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255449963 PECOS PAC ID: 9133032964 Enrollment ID: O20031107000585 |
| 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 |
|---|---|
| Mrs Katerina Stursova-wolff, MD Po Box 5127, Everett, WA 98206-5127 Ph: (425) 397-1702 | Mrs Katerina Stursova-wolff, MD 8910 Vernon Rd, Lake Stevens, WA 98258-2400 Ph: (425) 397-1702 |
Edward Jacobs, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8910 Vernon Rd, Lake Stevens, WA 98258 Phone: 425-335-0966 | |
Anupama Varma Vijay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8910 Vernon Rd, Lake Stevens, WA 98258 Phone: 425-397-1700 | |
Ann E Haugen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8910 Vernon Rd, Lake Stevens, WA 98258 Phone: 425-335-0966 |