| Tracy Nimmerrichter-burgess, | |
|
830 Se Ireland St, Oak Harbor, WA 98277-5502 | |
| (360) 675-7678 | |
| (360) 279-0614 |
| Full Name | Tracy Nimmerrichter-burgess |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 37 Years |
| Location | 830 Se Ireland St, Oak Harbor, 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 |
|---|---|---|---|
| 1346295649 | NPI | - | NPPES |
| 1103449 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD00031197 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fort Defiance Indian Hospital | Fort defiance, AZ | Hospital |
| Chinle Comprehensive Health Care Facility | Chinle, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Fort Defiance Indian Hospital Board, Incorporation | 0941336697 | 104 |
| Dhhs Phs Naihs Chinle Comprehensive Health Care Facility | 9436062585 | 146 |
| Entity Name | Dhhs Phs Naihs Chinle Comprehensive Health Care Facility |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508800129 PECOS PAC ID: 9436062585 Enrollment ID: O20031106000210 |
| Entity Name | The Fort Defiance Indian Hospital Board, Incorporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Nimmerrichter-burgess, 316w Boone Ave 757, Spokane, WA 99201-2364 Ph: (509) 868-0876 | Tracy Nimmerrichter-burgess, 830 Se Ireland St, Oak Harbor, WA 98277-5502 Ph: (360) 675-7678 |
Kelli Randell, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 3475 N Saratoga St, Oak Harbor, WA 98278 Phone: 360-257-9561 | |
Dr. Michael E Dorney, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 3475 N Saratoga St., Oak Harbor, WA 98278 Phone: 360-257-9500 | |
Dr. Leivi Alejandro Sosa, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 3475 N Saratoga St, Oak Harbor, WA 98278 Phone: 360-257-9400 | |
Tuongvi Nguyen, Internal Medicine Medicare: Medicare Enrolled Practice Location: Naval Hospital Oak Hbr, 3475 North Saratoga St, Oak Harbor, WA 98278 Phone: 360-257-9501 | |
Mr. Zayan Anis Kanjo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 231 Se Barrington Drive, Suite 209, Oak Harbor, WA 98277 Phone: 360-679-3161 Fax: 360-679-1741 | |
Dr. Steven R. Ferronato, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1610 View Haven Dr, Oak Harbor, WA 98277 Phone: 916-947-3286 |