| Lake Whatcom Residential & Treatment Center | |
|
3600 Meridian St Bellingham WA 98225-1756 | |
| (360) 676-6000 | |
| (360) 676-6006 |
| Full Name | Lake Whatcom Residential & Treatment Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3600 Meridian St, Bellingham, Washington |
| Authorized Official Name and Position | Stephanie Ann Zapien (FINANCE/IT DIRECTOR) |
| Authorized Official Contact | 3606766000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Whatcom Residential & Treatment Center 3600 Meridian St Bellingham WA 98225-1756 Ph: (360) 676-6000 | Lake Whatcom Residential & Treatment Center 3600 Meridian St Bellingham WA 98225-1756 Ph: (360) 676-6000 |
| NPI Number | 1043281736 |
|---|---|
| Provider Enumeration Date | 01/30/2006 |
| Last Update Date | 06/02/2023 |
| Certification Date | 06/02/2023 |
| Medicare PECOS PAC ID | 8820068661 |
|---|---|
| Medicare Enrollment ID | O20040728001462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043281736 | NPI | - | NPPES |
| 7043615 | Medicaid | WA |
| Provider Name | Dennis W Gaither |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730123084 PECOS PAC ID: 1658326012 Enrollment ID: I20050317001054 |
| Provider Name | Sara J Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497703359 PECOS PAC ID: 7012993405 Enrollment ID: I20060713000312 |
| Provider Name | Angela M Belcaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528391794 PECOS PAC ID: 5799823951 Enrollment ID: I20091109000071 |
| Provider Name | Rita Palisaityte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407929383 PECOS PAC ID: 2860709995 Enrollment ID: I20150922001032 |
| Provider Name | Jesse C Moline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639783079 PECOS PAC ID: 3274999651 Enrollment ID: I20230510002945 |
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