| Michael R Komanetz, MSN ARNP | |
|
37624 Se Fury St, Ste 101, Snoqualmie, WA 98065-9680 | |
| (425) 888-2016 | |
| (206) 320-5170 |
| Full Name | Michael R Komanetz |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 37624 Se Fury St, Snoqualmie, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306216734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP60577565 (Washington) | Primary |
| 363L00000X | Nurse Practitioner | AP60577565 (Washington) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sanford Home Care Fargo | Fargo, ND | Home health agency |
| Sanford Medical Center Fargo | Fargo, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Medical Center Fargo | 8426967803 | 1125 |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R Komanetz, MSN ARNP Po Box 25608, Salt Lake City, UT 84125-0608 Ph: (206) 320-4476 | Michael R Komanetz, MSN ARNP 37624 Se Fury St, Ste 101, Snoqualmie, WA 98065-9680 Ph: (425) 888-2016 |
Joanne E Bastille, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8226 Bracken Pl Se Ste 200, Snoqualmie, WA 98065 Phone: 425-434-1799 | |
Patricia Jeanne Yetneberk, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9801 Frontier Ave Se, Snoqualmie, WA 98065 Phone: 425-831-2313 Fax: 425-831-2361 | |
Jillian Alexa Rippey, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 35020 Se Kinsey St, Snoqualmie, WA 98065 Phone: 425-396-7682 Fax: 425-396-7694 | |
Mrs. Kaylin Anne Reeve, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9801 Frontier Ave Se, Snoqualmie, WA 98065 Phone: 425-831-2300 | |
Sue A Greiling, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9575 Ethan Wade Way Se, Snoqualmie, WA 98065 Phone: 425-831-2321 Fax: 425-831-2361 | |
Dr. Jennifer Lynn Bryson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8738 Falls Ave Se, Snoqualmie, WA 98065 Phone: 425-773-1879 |