| Amanda Radovich, PA-C | |
|
4455 148th Ave Ne # B1, Bellevue, WA 98007-3120 | |
| (063) 862-6002 | |
| (425) 296-3622 |
| Full Name | Amanda Radovich |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 4455 148th Ave Ne # B1, Bellevue, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548698442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA60421555 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Evergreenhealth Medical Center | Kirkland, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Opa Ortho Pllc | 7012371305 | 42 |
| Entity Name | South Sound Neurosurgery PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417992389 PECOS PAC ID: 1254225899 Enrollment ID: O20040320000586 |
| Entity Name | Opa Ortho PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821787334 PECOS PAC ID: 7012371305 Enrollment ID: O20230920000964 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Radovich, PA-C 601 Broadway Fl 7, Seattle, WA 98122-5330 Ph: (425) 820-1221 | Amanda Radovich, PA-C 4455 148th Ave Ne # B1, Bellevue, WA 98007-3120 Ph: (063) 862-6002 |
Miss Christine Reichert, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1231 116th Ave Ne Ste 515, Bellevue, WA 98004 Phone: 425-635-3050 |
Maria Lee Imbesi, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1110 112th Ave Ne, Suite 150, Bellevue, WA 98004 Phone: 425-450-0880 |
Laura R Wendzich, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 11695 Ne 4th St, Bellevue, WA 98004 Phone: 425-637-1855 Fax: 425-344-7970 |
Hagen Robert Nelson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1035 116th Ave Ne, Bellevue, WA 98004 Phone: 425-688-5000 |
Paula J Lins, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3000 |
Patrick Duffy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1035 116th Ave Ne, Bellevue, WA 98004 Phone: 425-688-5000 |
Mr. Finn Shea, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1800 116th Ave Ne Ste 102, Bellevue, WA 98004 Phone: 425-947-9485 |