| Kiva C Fallgatter, PA-C | |
|
2930 Maple St, Everett, WA 98201-3832 | |
| (425) 261-1500 | |
| Not Available |
| Full Name | Kiva C Fallgatter |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2930 Maple St, Everett, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588913289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5216 (Arizona) | Secondary |
| 363A00000X | Physician Assistant | 60385339 (Washington) | Primary |
| Entity Name | Kaiser Foundation Health Plan of Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
| Entity Name | Community Health Center of Snohomish County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730136367 PECOS PAC ID: 0446152003 Enrollment ID: O20040123000395 |
| Mailing Address | Practice Location Address |
|---|---|
| Kiva C Fallgatter, PA-C 2930 Maple St, Everett, WA 98201-3832 Ph: (425) 261-1500 | Kiva C Fallgatter, PA-C 2930 Maple St, Everett, WA 98201-3832 Ph: (425) 261-1500 |
Tina Malm, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2205 Broadway, Everett, WA 98201 Phone: 888-227-3312 Fax: 425-259-8630 |
Mr. James Potocsnak, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2320 Rucker Ave, Everett, WA 98201 Phone: 425-259-5121 Fax: 425-252-1322 |
Michael James Oliver, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3726 Broadway Ste 201, Everett, WA 98201 Phone: 425-317-9119 |
Karen M Tooley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1330 Rockefeller Ave, Suite 400, Everett, WA 98201 Phone: 425-261-4950 |
Mary E Mitchell, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3927 Rucker Ave, Everett, WA 98201 Phone: 425-339-5422 Fax: 425-303-3053 |
Gary K. Baal, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1321 Colby Ave, Everett, WA 98201 Phone: 425-261-2000 |
Travis B. Adelman, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4201 Rucker Ave, Everett, WA 98203 Phone: 425-382-4000 |