| Kathy Edison, | |
|
2601 Pacific Ave N, Long Beach, WA 98631-3864 | |
| (360) 642-3787 | |
| (360) 642-2096 |
| Full Name | Kathy Edison |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 2601 Pacific Ave N, Long Beach, 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 |
|---|---|---|---|
| 1700521184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 61284031 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Willapa Counseling Center | 4587552831 | 8 |
| Peninsula Behavioral Health | 7416845870 | 14 |
| Entity Name | Peninsula Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760519060 PECOS PAC ID: 7416845870 Enrollment ID: O20040503001304 |
| Entity Name | Peninsula Psychological Center Inc Ps |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346274289 PECOS PAC ID: 1456321785 Enrollment ID: O20040726001320 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathy Edison, 2601 Pacific Ave N, Long Beach, WA 98631-3864 Ph: (360) 642-3787 | Kathy Edison, 2601 Pacific Ave N, Long Beach, WA 98631-3864 Ph: (360) 642-3787 |
Pauline S Mead, MSN, APRN, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2204 Pacific Ave N, Long Beach, WA 98631 Phone: 360-642-3787 | |
Annalise Ofelia Senofsky, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2204 Pacific Ave N, Long Beach, WA 98631 Phone: 360-642-3787 | |
Ms. Mary Anne Christine Murray, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2204 Pacific Ave N, Long Beach, WA 98631 Phone: 360-642-3787 Fax: 360-642-2096 |