| Ms Stephanie Peace Rezendes, PA-C | |
|
21911 76th Ave W Ste 211, Edmonds, WA 98026-7918 | |
| (425) 775-6651 | |
| (425) 670-6718 |
| Full Name | Ms Stephanie Peace Rezendes |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 21911 76th Ave W Ste 211, Edmonds, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952703258 | NPI | - | NPPES |
| 2055928 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA60613322 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Swedish Edmonds Hospital | Edmonds, WA | Hospital |
| Virginia Mason Medical Center | Seattle, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Polyclinic Pllc | 2163328196 | 364 |
| Proliance Surgeons Inc P S | 8527972900 | 395 |
| Entity Name | Proliance Surgeons Inc P S |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023170313 PECOS PAC ID: 8527972900 Enrollment ID: O20031119000128 |
| Entity Name | The Polyclinic PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174594634 PECOS PAC ID: 2163328196 Enrollment ID: O20031210000788 |
| Entity Name | Optum Care Washington PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 |
| Entity Name | First Hill Surgery Center LLC |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1306217039 PECOS PAC ID: 3779875703 Enrollment ID: O20160712000365 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Stephanie Peace Rezendes, PA-C 21911 76th Ave W Ste 211, Edmonds, WA 98026-7918 Ph: (425) 775-6651 | Ms Stephanie Peace Rezendes, PA-C 21911 76th Ave W Ste 211, Edmonds, WA 98026-7918 Ph: (425) 775-6651 |
Barbara R Fayette, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 21601 76th Ave W, Edmonds, WA 98026 Phone: 425-640-4000 Fax: 425-640-4010 |
Mr. Zachary Crofford Weaver, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21616 76th Ave W Ste 201a, Edmonds, WA 98026 Phone: 425-673-3400 Fax: 425-673-3401 |
Mrs. Bryn Lauren Davis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21600 Highway 99 Ste 240, Edmonds, WA 98026 Phone: 425-673-3500 |
Sandhya Venugopal, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 23320 Highway 99, Edmonds, WA 98026 Phone: 425-789-3789 |
Mandy Merrick, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7315 212th St Sw, Edmonds, WA 98026 Phone: 425-775-9474 |
Mr. Glenn O. Knight, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7315 212th St Sw, Suite 201, Edmonds, WA 98026 Phone: 425-778-8116 Fax: 425-775-9526 |
Mrs. Erin Adass Whitehall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7315 212th St Sw, Suite 201, Edmonds, WA 98026 Phone: 425-673-3900 Fax: 425-673-3910 |