| Shauna M Riley, PA-C | |
|
1321 Colby Ave, Everett, WA 98201-1665 | |
| (425) 261-2000 | |
| Not Available |
| Full Name | Shauna M Riley |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 1321 Colby Ave, Everett, 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 |
|---|---|---|---|
| 1871629709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA10004765 (Washington) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA10004765 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Overlake Hospital Medical Center & Clinics | Bellevue, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Overlake Medical Clinics Llc | 7012808827 | 423 |
| Entity Name | Overlake Medical Clinics LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801828421 PECOS PAC ID: 7012808827 Enrollment ID: O20040322001533 |
| Entity Name | Providence Health & Services- Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111 |
| Entity Name | Providence Health & Services-wa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336390442 PECOS PAC ID: 0648330787 Enrollment ID: O20090106000737 |
| Mailing Address | Practice Location Address |
|---|---|
| Shauna M Riley, PA-C Po Box 3360, Portland, OR 97208-3360 Ph: (866) 747-2455 | Shauna M Riley, PA-C 1321 Colby Ave, Everett, WA 98201-1665 Ph: (425) 261-2000 |
Tina Malm, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2205 Broadway, Everett, WA 98201 Phone: 888-227-3312 Fax: 425-259-8630 |
Mr. James Potocsnak, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2320 Rucker Ave, Everett, WA 98201 Phone: 425-259-5121 Fax: 425-252-1322 |
Michael James Oliver, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3726 Broadway Ste 201, Everett, WA 98201 Phone: 425-317-9119 |
Karen M Tooley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1330 Rockefeller Ave, Suite 400, Everett, WA 98201 Phone: 425-261-4950 |
Mary E Mitchell, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3927 Rucker Ave, Everett, WA 98201 Phone: 425-339-5422 Fax: 425-303-3053 |
Gary K. Baal, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1321 Colby Ave, Everett, WA 98201 Phone: 425-261-2000 |
Travis B. Adelman, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4201 Rucker Ave, Everett, WA 98203 Phone: 425-382-4000 |