| Owen Takashi Bennion, | |
| 2475 140th Ave Ne Bldg C, Bellevue, WA 98005-1892 | |
| (425) 828-2257 | |
| (425) 896-7034 | 
| Full Name | Owen Takashi Bennion | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 2475 140th Ave Ne Bldg C, Bellevue, Washington | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1740866847 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 61565258 (Washington) | Primary | 
| Entity Name | Permanente Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Owen Takashi Bennion, 2475 140th Ave Ne Bldg C, Bellevue, WA 98005-1892 Ph: (425) 828-2257 | Owen Takashi Bennion, 2475 140th Ave Ne Bldg C, Bellevue, WA 98005-1892 Ph: (425) 828-2257 | 
| Eric Albert Gustafson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2700 Northup Way, Bellevue, WA 98004 Phone: 425-827-4600 | |
| Dr. Arlene Elizabeth Ritzen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1900 116th Ave Ne, Bellevue, WA 98004 Phone: 425-453-0404 | |
| Dr. Emily Susan Showman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3633 136th Place Se, Suite #110, Bellevue, WA 98006 Phone: 425-747-7202 Fax: 425-643-0635 | |
| Allyson Hana Mei-yan Koh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2475 140th Ave Ne Bldg C, Bellevue, WA 98005 Phone: 425-828-2257 Fax: 425-896-7034 | |
| Tha Aung Saw, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1100 112th Ave Ne Ste 320, Bellevue, WA 98004 Phone: 425-289-3000 Fax: 425-289-3240 | |
| Ildiko Hegyvary Thomas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3000 | |
| Bill M Fournarakis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2700 Northup Way, Bellevue, WA 98004 Phone: 425-827-4600 Fax: 425-828-2256 |