| Alexandra Cornwall, PA-C | |
|
209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | |
| (253) 596-3300 | |
| Not Available |
| Full Name | Alexandra Cornwall |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 209 Martin Luther King Jr Way, Tacoma, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003208612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Entity Name | Kaiser Foundation Health Plan of Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
| Entity Name | Northwest Physician Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275567919 PECOS PAC ID: 4183523806 Enrollment ID: O20031231000754 |
| Entity Name | Mt Rainier Emergency Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538104476 PECOS PAC ID: 7810980968 Enrollment ID: O20040406000189 |
| Entity Name | Northwest Observation Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023539376 PECOS PAC ID: 9032480942 Enrollment ID: O20170810000470 |
| Entity Name | Western Washington Emergency Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801352505 PECOS PAC ID: 0749514735 Enrollment ID: O20190625002379 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandra Cornwall, PA-C 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 Ph: (253) 596-3300 | Alexandra Cornwall, PA-C 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 Ph: (253) 596-3300 |
Mr. Shi Chian Khor, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-7537 Fax: 253-403-4576 |
Mrs. Tiffany C Crabb, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1802 Yakima Ave Ste 104, Tacoma, WA 98405 Phone: 253-426-6272 Fax: 253-426-4060 |
Mr. Christopher R Walsh, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 |
Grant Alexander Yelliott Ii, PA C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1717 S J St, Tacoma, WA 98405 Phone: 253-426-6660 Fax: 253-426-6250 |
Margaret Mary Fahy, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-0432 |
Allegra Blomenberg, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6002 Westgate Blvd Ste 150, Tacoma, WA 98406 Phone: 253-752-8882 Fax: 253-752-8907 |
Mr. Sheldon Burdell Watson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Madigan Army Medical Center/okubo Clinic, 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-966-7546 |