| Kim-tien Quoc Pham, ARNP | |
|
2709 Hemlock St, Bremerton, WA 98310-2623 | |
| (360) 782-6000 | |
| (360) 782-6099 |
| Full Name | Kim-tien Quoc Pham |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 2709 Hemlock St, Bremerton, 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 |
|---|---|---|---|
| 1851918692 | NPI | - | NPPES |
| 2165705 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP61073230 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Virginia Mason Medical Center | Seattle, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dispatchhealth Washington Pc | 2062765423 | 55 |
| Virginia Mason Medical Center | 9830002617 | 839 |
| Entity Name | Virginia Mason Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801851258 PECOS PAC ID: 9830002617 Enrollment ID: O20031107000383 |
| Entity Name | Franciscan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789 |
| Entity Name | Dispatchhealth Washington Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013490507 PECOS PAC ID: 2062765423 Enrollment ID: O20181101000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Kim-tien Quoc Pham, ARNP 2709 Hemlock St, Bremerton, WA 98310-2623 Ph: (360) 782-6000 | Kim-tien Quoc Pham, ARNP 2709 Hemlock St, Bremerton, WA 98310-2623 Ph: (360) 782-6000 |
Teri Lynae Scott, ARNP, CWCN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2520 Cherry Ave, Bremerton, WA 98310 Phone: 360-744-5618 Fax: 360-744-4559 | |
Ms. Gretchen Cornwall Berni, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2709 Hemlock St, Bremerton, WA 98310 Phone: 360-782-6000 Fax: 360-478-7240 | |
Elizabeth J Shaubell, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: One Boone Road, Naval Hospital, Bremerton, WA 98312 Phone: 360-475-4379 Fax: 360-475-4646 | |
Theresa A Danscuk-sloan, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: One Boone Road, Bremerton, WA 98312 Phone: 360-475-4426 Fax: 360-475-4344 | |
Mrs. Mary Kathryn Odahl Heli, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Boone Rd, Bremerton, WA 98312 Phone: 360-475-4209 | |
Breanna Laura Gulati, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2709 Hemlock St, Bremerton, WA 98310 Phone: 360-782-6000 | |
John T Spannuth, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Boone Road, Naval Hospital, Bremerton, WA 98312 Phone: 360-475-4379 Fax: 360-475-4646 |