| Teleemon Behavioral Health Services | |
|
1400 112th Ave Se Ste 100 Bellevue WA 98004-6901 | |
| (425) 615-8960 | |
| Not Available |
| Full Name | Teleemon Behavioral Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 1400 112th Ave Se Ste 100, Bellevue, Washington |
| Authorized Official Name and Position | Frank Bashumika (OWNER) |
| Authorized Official Contact | 4256158930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Teleemon Behavioral Health Services Pmb 231 15127 Main Street E Suite 104 Sumner WA 98390 Ph: (253) 988-0798 | Teleemon Behavioral Health Services 1400 112th Ave Se Ste 100 Bellevue WA 98004-6901 Ph: (425) 615-8960 |
| NPI Number | 1093476467 |
|---|---|
| Provider Enumeration Date | 01/06/2022 |
| Last Update Date | 01/25/2022 |
| Certification Date | 01/25/2022 |
| Medicare PECOS PAC ID | 0244622124 |
|---|---|
| Medicare Enrollment ID | O20220127000211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093476467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Frank Charles Bashumika |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649868126 PECOS PAC ID: 2163823162 Enrollment ID: I20210629000462 |
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