| Nicola Carlisle, | |
|
3901 Hoyt Ave, Everett, WA 98201-4918 | |
| (425) 339-5408 | |
| (425) 303-3096 |
| Full Name | Nicola Carlisle |
|---|---|
| Gender | Female |
| Speciality | Neurology |
| Experience | 11 Years |
| Location | 3901 Hoyt 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 |
|---|---|---|---|
| 1093109381 | NPI | - | NPPES |
| 1093109381 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 66438 (Wisconsin) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | MD61087549 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Regional Medical Center Everett | Everett, WA | Hospital |
| Whidbeyhealth Medical Center | Coupeville, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Select Outpatient Services Inc | 4082868815 | 606 |
| Optum Care Washington Pllc | 6406752153 | 597 |
| Select Rehabilitation Llc | 9032020490 | 1538 |
| 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 |
|---|---|
| Nicola Carlisle, Po Box 5127, Everett, WA 98206-5127 Ph: (425) 339-5408 | Nicola Carlisle, 3901 Hoyt Ave, Everett, WA 98201-4918 Ph: (425) 339-5408 |
Dr. Vikram Manjunath Gopal, D.O. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2930 Maple St, Everett, WA 98201 Phone: 425-261-1500 Fax: 877-516-1074 | |
Dr. Zsolt A Lorant, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1728 W Marine View Dr, Everett, WA 98201 Phone: 425-339-5453 Fax: 425-252-4441 | |
Derek Chen Huang, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-339-5408 | |
Dr. Shirin Khan Schilling, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 12728 19th Ave Se Ste 300, Everett, WA 98208 Phone: 425-252-1116 | |
Dr. Tasca D Snow, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4526 Federal Ave, Everett, WA 98203 Phone: 425-349-6200 Fax: 425-349-6887 | |
Dr. Joshua Max Boguch, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1728 W Marine View Dr, Everett, WA 98201 Phone: 425-339-5453 Fax: 425-252-4441 |