| Tumaini Rucker Coker, MD | |
|
9107 Se 78th Pl, Mercer Island, WA 98040 | |
| (310) 663-6721 | |
| (310) 663-6721 |
| Full Name | Tumaini Rucker Coker |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 9107 Se 78th Pl, Mercer Island, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295892149 | NPI | - | NPPES |
| 00A811100 | Medicaid | CA | |
| A81110 | Other | CA | PROFESSIONAL LICENSE |
| 036111712 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036111712 (Illinois) | Secondary |
| 208000000X | Pediatrics | A81110 (California) | 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 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Tumaini Rucker Coker, MD 9107 Se 78th Pl, Mercer Island, WA 98040 Ph: (310) 663-6721 | Tumaini Rucker Coker, MD 9107 Se 78th Pl, Mercer Island, WA 98040 Ph: (310) 663-6721 |
Dr. Hal Cooper Quinn, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2553 76th Ave Se, Mercer Island, WA 98040 Phone: 206-275-2122 | |
Dr. Julie Ellner, M.D. Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 9675 Se 36th St Ste 100, Mercer Island, WA 98040 Phone: 206-275-2122 Fax: 206-275-0860 | |
Frances Gmur, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8841 Se 37th St, Mercer Island, WA 98040 Phone: 206-230-5874 | |
Lisa Ilana Glasser, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7683 Se 27th St, #310, Mercer Island, WA 98040 Phone: 206-941-9306 | |
Dr. Danette Swanson Glassy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2553 76th Ave Se, Mercer Island, WA 98040 Phone: 206-275-2122 Fax: 206-275-0860 | |
Christopher A Kodama, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8211 Se 36th St, Mercer Island, WA 98040 Phone: 206-240-3741 |