| Andrew Jon Kimitsuka, PA-C | |
|
1608 S J St Fl 5, Tacoma, WA 98405-4930 | |
| (253) 274-7505 | |
| (253) 274-7948 |
| Full Name | Andrew Jon Kimitsuka |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 1608 S J St Fl 5, Tacoma, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518754837 | NPI | - | NPPES |
| 2337343 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA.PA.61633154 (Washington) | Primary |
| 363A00000X | Physician Assistant | PA.PA.61633154 (Washington) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
| Multicare Capital Medical Center | Olympia, WA | Hospital |
| Mason General Hospital & Family Of Clinics | Shelton, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Capital Medical Center Specialty Physicians Llc | 2567651771 | 103 |
| Entity Name | Capital Medical Center Specialty Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760785281 PECOS PAC ID: 2567651771 Enrollment ID: O20110104000592 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Jon Kimitsuka, PA-C 1608 S J St Fl 5, Tacoma, WA 98405-4930 Ph: (253) 274-7505 | Andrew Jon Kimitsuka, PA-C 1608 S J St Fl 5, Tacoma, WA 98405-4930 Ph: (253) 274-7505 |
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 |
Alexandra Cornwall, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 |
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 |