| Mr Zachary Mason Thorgrimson, PA-C | |
|
10004 204th Ave E Fl 3, Bonney Lake, WA 98391-6539 | |
| (253) 848-5951 | |
| (253) 845-7073 |
| Full Name | Mr Zachary Mason Thorgrimson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 10004 204th Ave E Fl 3, Bonney Lake, 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 |
|---|---|---|---|
| 1720757172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | PA61229469 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Hill Family Medicine Pc | 8729980396 | 67 |
| Entity Name | South Hill Family Medicine PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538253331 PECOS PAC ID: 8729980396 Enrollment ID: O20040123000443 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Zachary Mason Thorgrimson, PA-C 3908 10th St Se, Puyallup, WA 98374-2188 Ph: (253) 848-5951 | Mr Zachary Mason Thorgrimson, PA-C 10004 204th Ave E Fl 3, Bonney Lake, WA 98391-6539 Ph: (253) 848-5951 |
Ms. Stefany Jeneifer Cameron, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21709 113th St E, Bonney Lake, WA 98391 Phone: 253-737-5764 Fax: 253-220-2127 |
Don Massey, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10004 204th Ave E, #1200, Bonney Lake, WA 98391 Phone: 253-848-5951 Fax: 253-845-7073 |
Mr. Brandon Alan Swisher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10004 204th Ave E, #1200, Bonney Lake, WA 98391 Phone: 253-848-5951 Fax: 253-845-7073 |
Erin Elizabeth Rothenberg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10004 204th Ave E, Bonney Lake, WA 98391 Phone: 253-848-5951 Fax: 253-845-7073 |
Jean Piere Rivera Nieves, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10004 204th Ave E, Bonney Lake, WA 98391 Phone: 253-848-5951 |
Agrini Boken, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 18209 Wa-410 East, Suite 301, Bonney Lake, WA 98391 Phone: 253-436-3267 |
Saydee Homolka, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10004 204th Ave E Ste 2200, Bonney Lake, WA 98391 Phone: 253-447-3300 |