| Edward H Ebert, PMHNP | |
| 
					15455 65th Ave S, Tukwila, WA 98188  | |
| (360) 353-9494 | |
| (360) 353-9440 | 
| Full Name | Edward H Ebert | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 15455 65th Ave S, Tukwila, Washington | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1467690693 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP60499640 (Washington) | Primary | 
| 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  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Edward H Ebert, PMHNP Po Box 2429, Longview, WA 98632-8486 Ph: (360) 353-9494  | Edward H Ebert, PMHNP 15455 65th Ave S, Tukwila, WA 98188 Ph: (360) 353-9494  | 
Ms. Jennifer T Hardgrove, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6450 Southcenter Blvd Ste 102, Tukwila, WA 98188 Phone: 206-466-5410 Fax: 206-721-1287  | |
Lauren Buckham, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13030 Military Rd S Ste 200, Tukwila, WA 98168 Phone: 206-439-3289  | |
Dr. Tofik Sergaga Shkrea, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12844 Military Rd S, Tukwila, WA 98168 Phone: 206-372-3784  | |
Cindy Bello-utu, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7100 Fort Dent Way Ste 220, Tukwila, WA 98188 Phone: 425-640-7009 Fax: 425-640-9600  | |
Diane E Walker, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13030 Military Rd S, Suite # 210, Tukwila, WA 98168 Phone: 206-242-6500 Fax: 206-246-7946  | |
Mr. Charles Allen Wiley, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12400 E Marginal Way S, Tukwila, WA 98168 Phone: 206-901-8801  | |
Audrey L Cavins-ezell, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16000 Christensen Rd Ste 200, Tukwila, WA 98188 Phone: 833-719-0886  |