| Martha C Pao, PA-C | |
|
1919 112th St Sw, Everett, WA 98204-3784 | |
| (425) 513-1600 | |
| Not Available |
| Full Name | Martha C Pao |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1919 112th St Sw, 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 |
|---|---|---|---|
| 1336184043 | NPI | - | NPPES |
| 0175422 | Other | WA | LIWA |
| 2414PA | Other | WA | BSWA |
| 8364077 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA10004551 (Washington) | Primary |
| Entity Name | United Wound Healing PS |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669845327 PECOS PAC ID: 2860794070 Enrollment ID: O20160105002318 |
| Entity Name | Washington Pac Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336678168 PECOS PAC ID: 4082986070 Enrollment ID: O20170825002664 |
| Entity Name | Wa Pacs 2 PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144706532 PECOS PAC ID: 6901156538 Enrollment ID: O20180831002235 |
| Entity Name | CS Pacs 3 Northwest LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811752066 PECOS PAC ID: 8729526496 Enrollment ID: O20241011003807 |
| Mailing Address | Practice Location Address |
|---|---|
| Martha C Pao, PA-C 5870 Hiatus Rd, Regional Admin Office, Tamrac, FL 33321-6424 Ph: (954) 377-3074 | Martha C Pao, PA-C 1919 112th St Sw, Everett, WA 98204-3784 Ph: (425) 513-1600 |
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 |