| Island Behavioral Medicine | |
|
3208 K Ave Anacortes WA 98221 | |
| (360) 682-5016 | |
| Not Available |
| Full Name | Island Behavioral Medicine |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3208 K Ave, Anacortes, Washington |
| Authorized Official Name and Position | Paula Louise Casey (OWNER) |
| Authorized Official Contact | 3606825016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Behavioral Medicine Po Box 378 Anacortes WA 98221-0378 Ph: (360) 682-5016 | Island Behavioral Medicine 3208 K Ave Anacortes WA 98221 Ph: (360) 682-5016 |
| NPI Number | 1447638853 |
|---|---|
| Provider Enumeration Date | 05/18/2015 |
| Last Update Date | 07/31/2018 |
| Medicare PECOS PAC ID | 9234426800 |
|---|---|
| Medicare Enrollment ID | O20160926000687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447638853 | NPI | - | NPPES |
| 2044886 | Medicaid | WA | |
| G8957249 | Other | WA | MEDICARE PTAN |
| Provider Name | Charlotte M Myers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144505553 PECOS PAC ID: 3274803622 Enrollment ID: I20170718003664 |
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