| Mr Kyle Thomas Krekow, PA-C | |
|
14720 Main St Ne, Suite 109, Duvall, WA 98019-8460 | |
| (425) 788-4889 | |
| (425) 844-6116 |
| Full Name | Mr Kyle Thomas Krekow |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 14720 Main St Ne, Duvall, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851497549 | NPI | - | NPPES |
| P00447839 | Other | MEDICARE RAILROAD | |
| 8463747 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA10005050 (Washington) | Primary |
| Entity Name | King County Public Hospital District No 2 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801986070 PECOS PAC ID: 7618880097 Enrollment ID: O20031111000557 |
| Entity Name | Signify Health Medical Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191230002111 |
| Entity Name | Zoomcare Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376225813 PECOS PAC ID: 0840640470 Enrollment ID: O20231222001547 |
| Entity Name | Peacehealth Networks on Demand LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023582178 PECOS PAC ID: 1759731383 Enrollment ID: O20240613000263 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kyle Thomas Krekow, PA-C Po Box 34036, Seattle, WA 98124-1036 Ph: (425) 899-3292 | Mr Kyle Thomas Krekow, PA-C 14720 Main St Ne, Suite 109, Duvall, WA 98019-8460 Ph: (425) 788-4889 |
Sarah Louise Leppert, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14720 Main Street Ne # 109, Duvall, WA 98019 Phone: 425-788-4889 Fax: 425-844-6116 |