| Calvin Clarke, | |
|
11019 Canyon Rd E Ste A, Puyallup, WA 98373-3001 | |
| (253) 537-0293 | |
| (253) 537-7650 |
| Full Name | Calvin Clarke |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 11019 Canyon Rd E Ste A, Puyallup, 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 |
|---|---|---|---|
| 1851761027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP60498791 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Assured Home Health And Hospice | Centralia, WA | Home health agency |
| Providence Centralia Hospital | Centralia, WA | Hospital |
| Providence St Peter Hospital | Olympia, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services - Washington | 2365427556 | 7 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
| Entity Name | Providence Health & Services - Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205931508 PECOS PAC ID: 2365427556 Enrollment ID: O20040622000640 |
| Mailing Address | Practice Location Address |
|---|---|
| Calvin Clarke, Po Box 5127, Everett, WA 98206-5127 Ph: (253) 537-0293 | Calvin Clarke, 11019 Canyon Rd E Ste A, Puyallup, WA 98373-3001 Ph: (253) 537-0293 |
Melinda Moore, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6332 Summerwood Dr E, Puyallup, WA 98373 Phone: 253-228-9674 | |
Oscar Herrera, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 15th Ave Se, Puyallup, WA 98372 Phone: 253-697-8610 | |
Corene Kimberly Irvin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15508 80th Avenue Ct E, Puyallup, WA 98375 Phone: 785-630-0608 | |
Dr. Timothy C Wical Jr., BSN, DNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15406 Meridian E, Puyallup, WA 98375 Phone: 253-509-1777 Fax: 949-577-4515 | |
Jennifer D Anderson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 118 7th Ave Sw, Puyallup, WA 98371 Phone: 253-579-0067 | |
Christopher Charles Cramer, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1450 5th St Se Ste 4200, Puyallup, WA 98372 Phone: 253-697-3450 | |
Mackenzie Annette Schumann, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1703 S Meridian Ste 101, Puyallup, WA 98371 Phone: 253-848-3000 Fax: 253-447-1641 |