| Brandon Ceccacci, | |
|
4311 11th Ave Ne Ste 200, Seattle, WA 98105-6367 | |
| (206) 616-4001 | |
| (206) 616-3889 |
| Full Name | Brandon Ceccacci |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 4311 11th Ave Ne Ste 200, Seattle, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053960393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA61124689 (Washington) | Primary |
| Entity Name | Washington Pac Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336678168 PECOS PAC ID: 4082986070 Enrollment ID: O20170825002664 |
| Entity Name | Wa Pacs 2 PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144706532 PECOS PAC ID: 6901156538 Enrollment ID: O20180831002235 |
| Entity Name | CS Pacs 3 Northwest LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811752066 PECOS PAC ID: 8729526496 Enrollment ID: O20241011003807 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Ceccacci, 4311 11th Ave Ne Ste 200, Seattle, WA 98105-6367 Ph: Not Available | Brandon Ceccacci, 4311 11th Ave Ne Ste 200, Seattle, WA 98105-6367 Ph: (206) 616-4001 |
Ms. Diane E Wheeler, MS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-744-3000 |
Shannon Alyssa Ries, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9800 4th Ave Ne, Seattle, WA 98115 Phone: 206-302-1200 |
Linda Chu, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 720 8th Ave S, Seattle, WA 98104 Phone: 206-788-3700 Fax: 206-788-3706 |
Leah Michelle Yoke, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 909 32nd Ave E, Seattle, WA 98112 Phone: 253-988-9758 |
Amanda L Pedersen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-543-6420 Fax: 206-520-5620 |
Courtney Jo Sanderson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 825 Eastlake Ave E, Seattle, WA 98109 Phone: 206-288-1000 |
Kaitlin Elizabeth Verni, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 825 Eastlake Ave E, Seattle, WA 98109 Phone: 206-288-1000 |