| Mr Daven Marcel Pantohan, PA-C | |
|
3726 Broadway Ste 201, Everett, WA 98201-3788 | |
| (425) 317-9119 | |
| (425) 317-9118 |
| Full Name | Mr Daven Marcel Pantohan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 3726 Broadway Ste 201, Everett, 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 |
|---|---|---|---|
| 1235531393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 60611622 (Washington) | Primary |
| 363AS0400X | Physician Assistant - Surgical | PA60611622 (Washington) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Regional Medical Center Everett | Everett, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Western Washington Medical Group Inc Ps | 7517870314 | 111 |
| Entity Name | Western Washington Medical Group Inc PS |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396413803 PECOS PAC ID: 7517870314 Enrollment ID: O20031107000469 |
| Entity Name | Proliance Surgeons Inc P S |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023170313 PECOS PAC ID: 8527972900 Enrollment ID: O20031119000128 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Daven Marcel Pantohan, PA-C 3726 Broadway Ste 201, Everett, WA 98201-3788 Ph: (425) 317-9119 | Mr Daven Marcel Pantohan, PA-C 3726 Broadway Ste 201, Everett, WA 98201-3788 Ph: (425) 317-9119 |
Tina Malm, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2205 Broadway, Everett, WA 98201 Phone: 888-227-3312 Fax: 425-259-8630 |
Mr. James Potocsnak, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2320 Rucker Ave, Everett, WA 98201 Phone: 425-259-5121 Fax: 425-252-1322 |
Michael James Oliver, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3726 Broadway Ste 201, Everett, WA 98201 Phone: 425-317-9119 |
Karen M Tooley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1330 Rockefeller Ave, Suite 400, Everett, WA 98201 Phone: 425-261-4950 |
Mary E Mitchell, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3927 Rucker Ave, Everett, WA 98201 Phone: 425-339-5422 Fax: 425-303-3053 |
Gary K. Baal, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1321 Colby Ave, Everett, WA 98201 Phone: 425-261-2000 |
Travis B. Adelman, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4201 Rucker Ave, Everett, WA 98203 Phone: 425-382-4000 |