| Mariena Mears, | |
|
12215 245th Ave E, Buckley, WA 98321-9238 | |
| (360) 897-0989 | |
| Not Available |
| Full Name | Mariena Mears |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 12215 245th Ave E, Buckley, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417325093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | AP60605295 (Washington) | Primary |
| Entity Name | Bastion Health Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750921193 PECOS PAC ID: 1557790896 Enrollment ID: O20200407002530 |
| Entity Name | Rejuvenation Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447712559 PECOS PAC ID: 4880083062 Enrollment ID: O20211109001571 |
| Entity Name | Villagehealth Dm Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598273211 PECOS PAC ID: 2769812445 Enrollment ID: O20230426001001 |
| Mailing Address | Practice Location Address |
|---|---|
| Mariena Mears, Po Box 1047, Graham, WA 98338-1047 Ph: (253) 256-9042 | Mariena Mears, 12215 245th Ave E, Buckley, WA 98321-9238 Ph: (360) 897-0989 |
Deidre Ann Mance, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2120 Ryan Rd, Buckley, WA 98321 Phone: 360-829-1111 | |
Ms. Danette Louise Delo, DNP-PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12202 261st Ave E, Buckley, WA 98321 Phone: 253-606-2499 | |
Hye Jin Kim, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2120 Ryan Rd, Buckley, WA 98321 Phone: 360-829-1111 |