| Maria Lynn Detherage, MS, RPAC | |
|
31675 Pacific Hwy S, Federal Way, WA 98003-5407 | |
| (253) 215-1093 | |
| (253) 215-1094 |
| Full Name | Maria Lynn Detherage |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 31675 Pacific Hwy S, Federal Way, 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 |
|---|---|---|---|
| 1720219173 | NPI | - | NPPES |
| 211807 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA60866304 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Medical Center | Tacoma, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Franciscan Medical Group | 0547173866 | 1115 |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Lynn Detherage, MS, RPAC 31675 Pacific Hwy S, Federal Way, WA 98003-5407 Ph: (253) 215-1093 | Maria Lynn Detherage, MS, RPAC 31675 Pacific Hwy S, Federal Way, WA 98003-5407 Ph: (253) 215-1093 |
Aimee Edmunds, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 34509 9th Ave S Ste 204, Federal Way, WA 98003 Phone: 253-835-5510 Fax: 253-835-5511 | |
Katherine R Redmon, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 33501 1st Way S, Federal Way, WA 98003 Phone: 253-838-2400 | |
Kelsey Anne Van Every, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 34509 9th Ave S Ste 304, Federal Way, WA 98003 Phone: 253-939-1230 Fax: 360-874-5959 | |
Charlotte Duvall, PA-S Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 33915 1st Way S Ste 200, Federal Way, WA 98003 Phone: 253-838-9839 | |
John Mark Gaudino, P.A.-C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1300 S 320th St, Federal Way, WA 98003 Phone: 253-839-2727 | |
Mr. Andreas Joseph Bitterlich, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 505 S 336th St, Suite 600, Federal Way, WA 98003 Phone: 253-838-6180 | |
Olesya Mykulyn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 31405 18th Ave S, Federal Way, WA 98003 Phone: 253-681-6600 |