| Jessica M S Vittengl, ARNP | |
|
2979 Squalicum Pkwy, Suite 101, Bellingham, WA 98225-1811 | |
| (360) 734-2700 | |
| (360) 734-8362 |
| Full Name | Jessica M S Vittengl |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 18 Years |
| Location | 2979 Squalicum Pkwy, Bellingham, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073707980 | NPI | - | NPPES |
| 1073707980 | Medicaid | WA | |
| 0280023 | Other | WA | L&I AND CRIME VICTIMS |
| AF03 | Other | WA | TRI WEST (TRICARE) |
| 9654005 | Medicaid | WA | |
| 0164VI | Other | WA | REGENCE BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP30007851 (Washington) | Primary |
| 363LA2100X | Nurse Practitioner - Acute Care | AP30007851 (Washington) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wentworth-douglass Hospital | Dover, NH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wentworth Douglass Physician Corporation | 5496749848 | 400 |
| Entity Name | Wentworth Douglass Physician Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447352430 PECOS PAC ID: 5496749848 Enrollment ID: O20040409000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica M S Vittengl, ARNP Po Box 5096, Bellingham, WA 98227-5096 Ph: (360) 734-2700 | Jessica M S Vittengl, ARNP 2979 Squalicum Pkwy, Suite 101, Bellingham, WA 98225-1811 Ph: (360) 734-2700 |
Rita A Kostelik, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 192 E Bakerview Rd Ste 102, Bellingham, WA 98226 Phone: 425-212-4200 | |
Melanie R Hartley, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4545 Cordata Pkwy, Suite 1e, Bellingham, WA 98226 Phone: 360-738-2200 Fax: 360-752-5679 | |
Rachel Hill May, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3015 Squalicum Pkwy Ste 100, Bellingham, WA 98225 Phone: 360-715-4186 Fax: 360-715-4187 | |
Jody L Bauer, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3111 Woburn St Ste 201, Bellingham, WA 98226 Phone: 360-734-1420 Fax: 360-733-1659 | |
David Flarry, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2979 Squalicum Pkwy, Bellingham, WA 98225 Phone: 360-734-2700 | |
Amanda Vichas, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 302 36th St, Bellingham, WA 98225 Phone: 360-756-9793 Fax: 360-752-9007 | |
Jaspreet S Khehra, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3130 Ellis St, Bellingham, WA 98225 Phone: 360-734-4404 |