| Ikechi Alex Ikechi, PMHNP | |
|
600 Oakesdale Ave Sw Ste 104, Renton, WA 98057-5226 | |
| (214) 971-3192 | |
| Not Available |
| Full Name | Ikechi Alex Ikechi |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 600 Oakesdale Ave Sw Ste 104, Renton, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083221006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP61119959 (Washington) | Secondary |
| 163W00000X | Registered Nurse | 862413 (Texas) | Primary |
| Entity Name | Psa Behavioral Health Agency |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285150896 PECOS PAC ID: 6305017245 Enrollment ID: O20110926000247 |
| Mailing Address | Practice Location Address |
|---|---|
| Ikechi Alex Ikechi, PMHNP 10820 113th Ct Ne Apt H308, Kirkland, WA 98033-5090 Ph: (214) 971-3192 | Ikechi Alex Ikechi, PMHNP 600 Oakesdale Ave Sw Ste 104, Renton, WA 98057-5226 Ph: (214) 971-3192 |
Caroline B Reese, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1412 Sw 43rd St Ste 140, Renton, WA 98057 Phone: 425-264-0750 | |
Janice Angle, R. N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2130 Shattuck Ave S, Renton, WA 98055 Phone: 206-380-0042 Fax: 425-516-7593 | |
Anne Hetzel, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 300 Sw 7th St, Renton, WA 98057 Phone: 425-204-2285 | |
Greg Luis Manlawe Pangilinan, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 401 S 23rd St, Renton, WA 98055 Phone: 503-997-6843 | |
Bailey Nicole Platt, ARNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 17930 Talbot Rd S, Renton, WA 98055 Phone: 425-228-3187 Fax: 425-228-7972 | |
Christie Holbrook, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 300 Sw 7th St, Renton, WA 98057 Phone: 425-204-2285 Fax: 425-204-4857 | |
Chelsey Candida Gersema, FNP-C Registered Nurse Medicare: Medicare Enrolled Practice Location: 707 S Grady Way Ste 400, Renton, WA 98057 Phone: 509-312-5704 Fax: 844-889-8902 |