| Dr Mary D Moller, DNP, APRN, PMHCNS-BC | |
|
5929 Westgate Blvd, Tacoma, WA 98406-2567 | |
| (253) 200-0415 | |
| (253) 625-7912 |
| Full Name | Dr Mary D Moller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 44 Years |
| Location | 5929 Westgate Blvd, Tacoma, 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 |
|---|---|---|---|
| 1770582884 | NPI | - | NPPES |
| 004003 | Other | CT | APRN LICENSE |
| AP30003075 | Other | WA | ARNP LIC # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | AP30003075 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rainier Internal Medicine Llc | 7911049242 | 6 |
| Entity Name | Rainier Internal Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972735157 PECOS PAC ID: 7911049242 Enrollment ID: O20100125000183 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary D Moller, DNP, APRN, PMHCNS-BC Mary D. Moller, 14702 41st Ave Ct Nw, Gig Harbor, WA 98332-2471 Ph: (203) 747-5667 | Dr Mary D Moller, DNP, APRN, PMHCNS-BC 5929 Westgate Blvd, Tacoma, WA 98406-2567 Ph: (253) 200-0415 |
Dr. Jesse Michael Hartmann, DNP, APN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 9040a Jackson Ave, Tacoma, WA 98433 Phone: 253-968-1353 | |
Arianne Parkinson, Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1291 | |
Ms. Vickie Marie O'neal, ARNP Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 9600 Veterans Dr, Tacoma, WA 98493 Phone: 253-583-1681 Fax: 253-589-4183 | |
Mrs. Ana Amparo Penas Vasquez, ARNP Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 2505 South 38th St, Bldg A Suite 109, Tacoma, WA 98409 Phone: 253-274-3943 | |
Christine Ann Fisher, RNC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: Madigan Army Medical Center 1040a Fitzsimmons Ave, Tacoma, WA 98431 Phone: 253-968-0895 | |
William W Wiles, LPN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 610 Yakima Ave, Tacoma, WA 98405 Phone: 253-396-5246 | |
Susan Kay Eardley, ACNS-BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1717 S J St, Tacoma, WA 98405 Phone: 253-426-4766 |