| Mr Gabe Raphael Wortman, ARNP | |
|
6884 Hannegan Rd, Everson, WA 98247-9637 | |
| (360) 354-0766 | |
| (360) 354-7667 |
| Full Name | Mr Gabe Raphael Wortman |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 6884 Hannegan Rd, Everson, 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 |
|---|---|---|---|
| 1386476026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP61598757 (Washington) | Primary |
| 363L00000X | Nurse Practitioner | AP61598757 (Washington) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sea Mar Community Health Centers | 7315831161 | 199 |
| Entity Name | Sea Mar Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811051170 PECOS PAC ID: 7315831161 Enrollment ID: O20040211001210 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gabe Raphael Wortman, ARNP Po Box 34703, Seattle, WA 98124-1703 Ph: () - | Mr Gabe Raphael Wortman, ARNP 6884 Hannegan Rd, Everson, WA 98247-9637 Ph: (360) 354-0766 |
Ms. Kathleen Annette Puderbaugh, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6760 Mission Rd, Everson, WA 98247 Phone: 360-966-2106 Fax: 360-966-2304 | |
Marlene Bishop, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2510 Sulwhanon Dr, Everson, WA 98247 Phone: 360-966-2106 | |
Alison Marie Wigbers, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6760 Mission Rd, Everson, WA 98247 Phone: 360-966-2106 |