| Ms Jennie Michelle Allen-rich, MD | |
|
603 S J St Ste 102, Tacoma, WA 98405-4100 | |
| (253) 396-4868 | |
| (253) 396-4870 |
| Full Name | Ms Jennie Michelle Allen-rich |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Cardiology |
| Location | 603 S J St Ste 102, Tacoma, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194980193 | NPI | - | NPPES |
| 2018803 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ML60019662 (Washington) | Secondary |
| 2080P0202X | Pediatrics - Pediatric Cardiology | MD60217235 (Washington) | Primary |
| 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 | Seattle Childrens Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003319500 PECOS PAC ID: 9032021050 Enrollment ID: O20031211000532 |
| Entity Name | Pediatrix Cardiology Of Washington Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164445367 PECOS PAC ID: 0244332310 Enrollment ID: O20070220000217 |
| Entity Name | Valley Medical Group-renton |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619209574 PECOS PAC ID: 4183753965 Enrollment ID: O20100604000113 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jennie Michelle Allen-rich, MD 603 S J St Ste 102, Tacoma, WA 98405-4100 Ph: (253) 396-4868 | Ms Jennie Michelle Allen-rich, MD 603 S J St Ste 102, Tacoma, WA 98405-4100 Ph: (253) 396-4868 |
Alexander L Bowers, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 9040a Jackson Ave Joint Base Lewis-mcchord, Tacoma, WA 98431 Phone: 253-968-3066 | |
David Lee Robinson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2252 | |
Nan Shin Moynihan, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1112 S Cushman Ave, Tacoma, WA 98405 Phone: 253-593-2144 Fax: 253-280-9881 | |
Arthur L Walter, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Pediatric Extended Care Clinic, Madigan Army Medical Center, Tacoma, WA 98431 Phone: 253-968-3066 | |
Bradley Stanton Hood, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 311 S L St, Tacoma, WA 98405 Phone: 253-403-1540 | |
Kirk N. Liesemer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-3066 | |
Christopher Anthony Bellotti, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 603 S J St Ste 102, Tacoma, WA 98405 Phone: 253-396-4868 Fax: 253-396-4870 |