| Dr Anteneh Woldeselassie, PMHNP-DNP | |
|
26136 Pacific Hwy S, Kent, WA 98032-6910 | |
| (206) 212-6189 | |
| (206) 429-2587 |
| Full Name | Dr Anteneh Woldeselassie |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 26136 Pacific Hwy S, Kent, 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 |
|---|---|---|---|
| 1396465753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP61562033 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Harbor Youth And Family Counseling | 7012338981 | 31 |
| Navos | 4385545474 | 33 |
| Vest Thurston Llc | 0648512459 | 14 |
| Entity Name | Telecare Mental Health Services Of Washington, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780913657 PECOS PAC ID: 5698804409 Enrollment ID: O20100603000217 |
| Entity Name | Vest Thurston Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336605849 PECOS PAC ID: 0648512459 Enrollment ID: O20190701002488 |
| Entity Name | Alliance For South Sound Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891298980 PECOS PAC ID: 5395094197 Enrollment ID: O20200327000694 |
| Entity Name | Harbor Youth And Family Counseling |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205466265 PECOS PAC ID: 7012338981 Enrollment ID: O20200601002016 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anteneh Woldeselassie, PMHNP-DNP 26136 Pacific Hwy S, Kent, WA 98032-6910 Ph: (206) 212-6189 | Dr Anteneh Woldeselassie, PMHNP-DNP 26136 Pacific Hwy S, Kent, WA 98032-6910 Ph: (206) 212-6189 |
Jacquelyn Rose Murillo, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25742 104th Ave Se, Kent, WA 98030 Phone: 206-263-0540 | |
Zainab Ali Gaal-weber, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25506 137th Ave Se, Kent, WA 98042 Phone: 425-345-0101 | |
Robert T Smithing, MSN ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10024 Se 240th St, 201, Kent, WA 98031 Phone: 253-859-2273 Fax: 253-850-8894 | |
Ms. Barbara Ann Krzyzek, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 W James St, King County Correctional Facilities Regional Justice Ce, Kent, WA 98032 Phone: 206-205-2410 Fax: 206-205-2439 | |
Nazira Juneiyd, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10024 Se 240th St Ste 201, Kent, WA 98031 Phone: 253-859-2273 Fax: 253-850-8894 | |
Amanda Jane Holen, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 202 State Avenue North, Kent, WA 98031 Phone: 253-372-7866 | |
Ni Na Yu, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10024 Se 240th St Ste 201, Kent, WA 98031 Phone: 253-859-2273 |