| Lucas John Martin, PA | |
|
4259 23rd Ave W, Suite 200, Seattle, WA 98199-1534 | |
| (206) 612-7869 | |
| Not Available |
| Full Name | Lucas John Martin |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 4259 23rd Ave W, Seattle, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376920918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA169881 (Oregon) | Secondary |
| 363A00000X | Physician Assistant | PA 60516081 (Washington) | Primary |
| Entity Name | Legacy Clinics LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Entity Name | Legacy Emanuel Hospital & Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831112358 PECOS PAC ID: 4587573639 Enrollment ID: O20040127001204 |
| Entity Name | Silverton Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669424354 PECOS PAC ID: 8921901877 Enrollment ID: O20040129000172 |
| Entity Name | Northwest Acute Care Specialists PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215983200 PECOS PAC ID: 7012807373 Enrollment ID: O20040318001535 |
| Entity Name | Peacehealth Networks on Demand LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023582178 PECOS PAC ID: 1759731383 Enrollment ID: O20240612001355 |
| Mailing Address | Practice Location Address |
|---|---|
| Lucas John Martin, PA 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 Ph: (503) 666-5050 | Lucas John Martin, PA 4259 23rd Ave W, Suite 200, Seattle, WA 98199-1534 Ph: (206) 612-7869 |
Ms. Diane E Wheeler, MS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-744-3000 |
Shannon Alyssa Ries, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9800 4th Ave Ne, Seattle, WA 98115 Phone: 206-302-1200 |
Linda Chu, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 720 8th Ave S, Seattle, WA 98104 Phone: 206-788-3700 Fax: 206-788-3706 |
Leah Michelle Yoke, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 909 32nd Ave E, Seattle, WA 98112 Phone: 253-988-9758 |
Amanda L Pedersen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-543-6420 Fax: 206-520-5620 |
Courtney Jo Sanderson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 825 Eastlake Ave E, Seattle, WA 98109 Phone: 206-288-1000 |
Kaitlin Elizabeth Verni, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 825 Eastlake Ave E, Seattle, WA 98109 Phone: 206-288-1000 |