Fairfax Physician Group - Medicare Mental Health Clinic in Kirkland, WA

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Fairfax Physician Group is a medicare enrolled mental health clinic (Psychiatry & Neurology - Psychiatry) in Kirkland, Washington. The current practice location for Fairfax Physician Group is 10200 Ne 132nd St, Kirkland, Washington. For appointments, you can reach them via phone at (425) 821-2000. The mailing address for Fairfax Physician Group is 10200 Ne 132nd St, Kirkland, Washington and phone number is (425) 821-2000.

Fairfax Physician Group is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1104959097. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (425) 821-2000.

Contact Information

Fairfax Physician Group
10200 Ne 132nd St
Kirkland
WA 98034-2831
(425) 821-2000
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameFairfax Physician Group
SpecialityPsychiatry & Neurology
Location10200 Ne 132nd St, Kirkland, Washington
Authorized Official Name and PositionPeggy Trachte (BUSINESS OFFICE DIRECTOR)
Authorized Official Contact4252841708
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fairfax Physician Group
10200 Ne 132nd St
Kirkland
WA 98034-2831

Ph: (425) 821-2000		Fairfax Physician Group
10200 Ne 132nd St
Kirkland
WA 98034-2831

Ph: (425) 821-2000

NPI Details:

NPI Number1104959097
Provider Enumeration Date03/13/2007
Last Update Date12/12/2011

Medicare PECOS Information:

Medicare PECOS PAC ID1153231857
Medicare Enrollment IDO20031120000445

Medical Identifiers

Medical identifiers for Fairfax Physician Group such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104959097NPI-NPPES
7104326MedicaidWA
7159908MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Fairfax Physician Group acts as a billing entity for following providers:
Provider NamePatrick Mathiasen
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1316962145
PECOS PAC ID: 4284627373
Enrollment ID: I20040405001603
Provider NameBrian D Coleman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1861575607
PECOS PAC ID: 5193702868
Enrollment ID: I20040630000953
Provider NameMelissa L Rubin
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1811043441
PECOS PAC ID: 4880671510
Enrollment ID: I20040701000379
Provider NameDeborah L Seidel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992736847
PECOS PAC ID: 5890764484
Enrollment ID: I20040930000213
Provider NameShona E Lowell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598710840
PECOS PAC ID: 3779523162
Enrollment ID: I20050504001274
Provider NameBeth C Hutchings
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407867112
PECOS PAC ID: 4284676552
Enrollment ID: I20050526000207
Provider NameAngela S Rideout
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750423554
PECOS PAC ID: 1759398811
Enrollment ID: I20060315000568
Provider NameEric J Roedel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588717375
PECOS PAC ID: 0749299980
Enrollment ID: I20060417000166
Provider NameSyed J Mustafa
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1609883180
PECOS PAC ID: 2365533544
Enrollment ID: I20070801000767
Provider NameSyed Kamal Mustafa
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1316954894
PECOS PAC ID: 3375632193
Enrollment ID: I20071203000026
Provider NameJessica J Jajesnica
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780779827
PECOS PAC ID: 9931273638
Enrollment ID: I20080729000592
Provider NamePatricia K Fray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881835163
PECOS PAC ID: 2163571944
Enrollment ID: I20090527000589
Provider NameTasha Elisa Morris
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1700957115
PECOS PAC ID: 8426082520
Enrollment ID: I20090909000487
Provider NamePolly H Richardson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053391003
PECOS PAC ID: 2264579010
Enrollment ID: I20091027000533
Provider NameTatiana I Sadak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235466517
PECOS PAC ID: 7517094170
Enrollment ID: I20100430000071
Provider NameMustapha I Hydara
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972831451
PECOS PAC ID: 0446381446
Enrollment ID: I20100707000369
Provider NameLinda Shin Milhoan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306036793
PECOS PAC ID: 5890989859
Enrollment ID: I20101103000866
Provider NameAmy O Zachara
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124337969
PECOS PAC ID: 0446447882
Enrollment ID: I20101210000066
Provider NameRachel A Bates
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154619054
PECOS PAC ID: 6002087574
Enrollment ID: I20110914000585
Provider NameBrian E Waiblinger
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1750350443
PECOS PAC ID: 6507033990
Enrollment ID: I20120126000156
Provider NamePatricia Garrison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730489972
PECOS PAC ID: 3375722374
Enrollment ID: I20120221000861
Provider NameCatherine E Webb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194061614
PECOS PAC ID: 0446404636
Enrollment ID: I20130218000481
Provider NameYen T Nguyen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356665947
PECOS PAC ID: 2567602394
Enrollment ID: I20130628000017
Provider NameOlga G Abramova
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285036228
PECOS PAC ID: 4688996002
Enrollment ID: I20141212002205
Provider NameGemy George
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144619099
PECOS PAC ID: 2163733593
Enrollment ID: I20150625001533
Provider NameRache M Mureau-haines
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417300450
PECOS PAC ID: 2062708738
Enrollment ID: I20160906001675
Provider NamePatrick Muturi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962876839
PECOS PAC ID: 2062791056
Enrollment ID: I20161115001505
Provider NameSid H Siahpush
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1104036631
PECOS PAC ID: 8527246719
Enrollment ID: I20161215001688
Provider NameJi-young Kim
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164974978
PECOS PAC ID: 5799066973
Enrollment ID: I20161230000158
Provider NameMurtuza Vali
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1366515009
PECOS PAC ID: 1658427422
Enrollment ID: I20170607003050
Provider NameBaijie Wang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164952628
PECOS PAC ID: 9638449614
Enrollment ID: I20170725000206
Provider NameEbrima Bangura
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093246928
PECOS PAC ID: 6103197520
Enrollment ID: I20170822001735
Provider NameThor Tangvald
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1235287954
PECOS PAC ID: 0143269258
Enrollment ID: I20171006001311
Provider NameMargo Shultes Von Schlageter
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1255422549
PECOS PAC ID: 8628381472
Enrollment ID: I20171027001376
Provider NameTaisia Alexandra Jignea
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316469208
PECOS PAC ID: 2860768348
Enrollment ID: I20171027002076
Provider NameMark D Kline
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1477670495
PECOS PAC ID: 9537421359
Enrollment ID: I20180314002248
Provider NameArvinder Kaul
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1396792578
PECOS PAC ID: 4486680121
Enrollment ID: I20180615001143
Provider NameDrew William Calhoun
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1992144984
PECOS PAC ID: 6800149188
Enrollment ID: I20181102002437
Provider NamePaul S Cagatin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679066278
PECOS PAC ID: 4880948769
Enrollment ID: I20181112002288
Provider NameOlena Sergiyivna Fox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033509260
PECOS PAC ID: 0941534648
Enrollment ID: I20190701000781
Provider NameApril Nicole Hinsberger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225520539
PECOS PAC ID: 4486985926
Enrollment ID: I20191014002727
Provider NameNikolous Fox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336676105
PECOS PAC ID: 6608207527
Enrollment ID: I20200510000250
Provider NameRachel R Mccluskey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437211711
PECOS PAC ID: 7810328309
Enrollment ID: I20200518001502
Provider NameAaron Kevin Andersen
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1679821334
PECOS PAC ID: 6901020338
Enrollment ID: I20201109002610
Provider NamePeter D Reiss
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1669855409
PECOS PAC ID: 0749527133
Enrollment ID: I20201112000455
Provider NameXin Wu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912539099
PECOS PAC ID: 6901218478
Enrollment ID: I20201208001258
Provider NameLiana Stepanyan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437796240
PECOS PAC ID: 4082026844
Enrollment ID: I20201218002509
Provider NameOkechukwu Kene Aneke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568046449
PECOS PAC ID: 3173911054
Enrollment ID: I20211026001516
Provider NameNatnael Gebeyehu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528700309
PECOS PAC ID: 9931565322
Enrollment ID: I20230509001669
Provider NameJoy C Uduehi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770249716
PECOS PAC ID: 2163320367
Enrollment ID: I20230605003168
Provider NameWioleta E Bongiorno
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699345926
PECOS PAC ID: 7517324650
Enrollment ID: I20230606001438
Provider NameIbrahim A Ibrahim
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255004180
PECOS PAC ID: 9830556810
Enrollment ID: I20230606003486
Provider NameDavid N Njenga
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518691286
PECOS PAC ID: 0042677031
Enrollment ID: I20230607000381
Provider NameLeulseged Gebrekidan Amare
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730802661
PECOS PAC ID: 0648637504
Enrollment ID: I20230607003280
Provider NameMatthew C Parker
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1649620089
PECOS PAC ID: 6507107182
Enrollment ID: I20230925003832

Reviews and Comments

Psychiatry & Neurology in Kirkland, WA

Ioana Diaconu, Md, Ps
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 620 Kirkland Way, 200, Kirkland, WA 98033
Phone: 425-889-5045    
Timothy A Rogge, Md, Pc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 10200 Ne 132nd St, Kirkland, WA 98034
Phone: 425-821-2000    
Relationships, Bodies, And Minds By Design
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 9757 Ne Juanita Dr, Suite 206, Kirkland, WA 98034
Phone: 425-736-7911    
Ryan Q Patterson Ma Lmhc Pllc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 11415 Ne 128th St, Suite 30, Kirkland, WA 98034
Phone: 425-205-9332    Fax: 888-232-6779
Lake Counseling & Consulting Pllc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 10415 Ne 37th Cir Bldg 4, Kirkland, WA 98033
Phone: 206-590-1331    
Larry W. Einspahr M.d.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 5400 Carillon Pt Bldg 5000, 4th Floor, Kirkland, WA 98033
Phone: 206-999-2486    Fax: 360-871-1942
Loryann M Nichols
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 11417 124th Ave Ne, #204, Kirkland, WA 98033
Phone: 425-899-0832    Fax: 425-827-6221

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.