| Lidia Wiersum, | |
|
2445 270th Ave Se, Issaquah, WA 98029-7901 | |
| (262) 748-5588 | |
| Not Available |
| Full Name | Lidia Wiersum |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 2445 270th Ave Se, Issaquah, 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 |
|---|---|---|---|
| 1558605071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | AP60321256 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Swedish Medical Center | Seattle, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Swedish Health Services | 9537072814 | 323 |
| Entity Name | Swedish Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831139724 PECOS PAC ID: 9537072814 Enrollment ID: O20031112000189 |
| Entity Name | Swedish Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689612954 PECOS PAC ID: 0244138196 Enrollment ID: O20031230000187 |
| Entity Name | Miranova Health, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932730447 PECOS PAC ID: 6800225624 Enrollment ID: O20200331000032 |
| Mailing Address | Practice Location Address |
|---|---|
| Lidia Wiersum, 2445 270th Ave Se, Issaquah, WA 98029-7901 Ph: (262) 748-5588 | Lidia Wiersum, 2445 270th Ave Se, Issaquah, WA 98029-7901 Ph: (262) 748-5588 |
Stephanie Caroline Ouellet, RN, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 8th Ave Ne Ste 200, Issaquah, WA 98029 Phone: 425-392-3030 Fax: 425-392-2564 | |
Miranda Joanne Garred, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 450 Nw Gilman Blvd Ste 105, Issaquah, WA 98027 Phone: 425-651-4242 Fax: 425-651-4244 | |
Madeline Paige Gottlieb, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 245 Mt Rainier Pl Nw, Issaquah, WA 98027 Phone: 425-443-8859 | |
Keesha Ewers, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 710 5th Ave Nw, Issaquah, WA 98027 Phone: 425-391-3376 | |
Keya Chisholm, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 450 Nw Gilman Blvd, Suite 201, Issaquah, WA 98027 Phone: 425-391-0705 Fax: 425-391-9562 | |
Shaily Arya, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 805 Front St S, Issaquah, WA 98027 Phone: 425-392-1271 | |
Kristi Lynn Goings, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 175 1st Pl Nw Ste A, Issaquah, WA 98027 Phone: 425-651-4242 |