| Thomas W Pendergrass, MD, MSPH | |
|
4800 Sand Point Way Ne, Seattle, WA 98105 | |
| (206) 987-2106 | |
| (206) 987-5105 |
| Full Name | Thomas W Pendergrass |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Hematology-oncology |
| Location | 4800 Sand Point Way Ne, Seattle, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124109483 | NPI | - | NPPES |
| 0826 | Other | INTERNAL ID-MOTOR VEHICLE ID | |
| 8362105 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD00014612 (Washington) | Secondary |
| 2080P0207X | Pediatrics - Pediatric Hematology-oncology | MD00014612 (Washington) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas W Pendergrass, MD, MSPH Po Box 5371, 4800 Sand Point Way Ne, Seattle, WA 98145-5005 Ph: (206) 987-2106 | Thomas W Pendergrass, MD, MSPH 4800 Sand Point Way Ne, Seattle, WA 98105 Ph: (206) 987-2106 |
Dr. James Toliver Bennett Jr., M.D., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4800 Sand Point Way Ne, Genetic Medicine, Seattle, WA 98105 Phone: 206-987-2056 | |
Dr. Leslie Ann Dervan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4800 Sand Point Way Ne, Mb.10.620, Seattle, WA 98105 Phone: 206-987-0293 | |
Dr. Indi Trehan, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4800 Sand Point Way Ne, Seattle, WA 98105 Phone: 206-987-2000 | |
Isabelle Maria Kiefaber, Pediatrics Medicare: Medicare Enrolled Practice Location: 4800 Sand Point Way Ne # Oc.7830, Seattle, WA 98105 Phone: 206-987-2525 | |
Alexa Mason, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2671 Ne 46th St, Seattle, WA 98105 Phone: 206-525-8000 Fax: 206-525-8070 | |
Mr. Campbell James Livingston Mckay, MBBS Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Pediatric Hematology Oncology Fellowship Program, 4800 Sand Point Way Mb 8 501, Seattle, WA 98105 Phone: 206-987-2000 | |
Madeline Ann Leonard, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4800 Sand Point Way Ne # Oc.7830, Seattle, WA 98105 Phone: 206-987-2525 |