| Samra Ejaz Khan, | |
|
26004 104th Ave Se, Kent, WA 98030-7677 | |
| (425) 251-4040 | |
| (425) 251-4126 |
| Full Name | Samra Ejaz Khan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 26004 104th Ave Se, Kent, 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 |
|---|---|---|---|
| 1639650781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA61007133 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kaiser Foundation Health Plan Of Washington | 9032022579 | 1519 |
| Entity Name | Kaiser Foundation Health Plan of Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Samra Ejaz Khan, 26004 104th Ave Se, Kent, WA 98030-7677 Ph: (425) 251-4040 | Samra Ejaz Khan, 26004 104th Ave Se, Kent, WA 98030-7677 Ph: (425) 251-4040 |
Mrs. Juliette Eileen Pohl-y-baca, PHYCIAN ASST. -CERT Physician Assistant Medicare: Medicare Enrolled Practice Location: 233 2nd Ave S, Kent, WA 98032 Phone: 206-436-6380 Fax: 206-436-6385 |
Katherine Elizabeth Miller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 219 State Ave N, Kent, WA 98030 Phone: 608-298-8922 |
Samuel Dylan Gillespie, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17700 Se 272nd St Ste 105, Kent, WA 98042 Phone: 253-792-6555 |
Paul Hartman Tromba, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1314 Central Ave S Ste 102, Kent, WA 98032 Phone: 253-397-8683 Fax: 253-342-4353 |
Carl Byron Marshall, MEDICAL ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 25959 130th Pl Se, Kent, WA 98030 Phone: 206-841-2924 |
Ms. Jensen Lund Nelson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 521 2nd Place North, M/s Ksc 11-103, Kent, WA 98032 Phone: 425-690-3491 Fax: 425-690-9091 |
Mr. Mark A Aytch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 403 E Meeker St, Kent, WA 98030 Phone: 253-852-2866 |