| Suzette Widdison Iverson, MPH PAC | |
|
3003 Judson St, Gig Harbor, WA 98335-1219 | |
| (253) 234-7412 | |
| (253) 349-2132 |
| Full Name | Suzette Widdison Iverson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 3003 Judson St, Gig Harbor, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144204173 | NPI | - | NPPES |
| 0239348 | Other | WA | STATE L&I |
| G8907654 | Other | WA | MEDICARE |
| 0291728 | Other | WA | L&I |
| 8500191 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA10004945 (Washington) | Primary |
| Entity Name | Peninsula Family Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588674998 PECOS PAC ID: 2961399266 Enrollment ID: O20040302000449 |
| Entity Name | Carelon Medical Partners PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124443403 PECOS PAC ID: 9931332111 Enrollment ID: O20200228002302 |
| Mailing Address | Practice Location Address |
|---|---|
| Suzette Widdison Iverson, MPH PAC 3003 Judson St, Gig Harbor, WA 98335-1219 Ph: (253) 235-7412 | Suzette Widdison Iverson, MPH PAC 3003 Judson St, Gig Harbor, WA 98335-1219 Ph: (253) 234-7412 |
Kathleen A Mcdaniel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11511 Canterwood Blvd Ste 205, Gig Harbor, WA 98332 Phone: 253-530-2663 |
Melissa Jean Oeding, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4700 Point Fosdick Dr Ste 308, Gig Harbor, WA 98335 Phone: 253-858-5433 Fax: 253-858-5436 |
Casey Pinch, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4700 Point Fosdick Dr Nw Ste 219, Gig Harbor, WA 98335 Phone: 253-851-7733 Fax: 253-851-8060 |
Mrs. Samantha N Sokol, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11511 Canterwood Blvd Ste 100, Gig Harbor, WA 98332 Phone: 253-382-8150 Fax: 253-382-8155 |
Mrs. Amber N Dahnke, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11511 Canterwood Blvd Ste 140, Gig Harbor, WA 98332 Phone: 253-530-2940 Fax: 253-530-2970 |
Mary Bethune, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5216 Point Fosdick Dr # 102, Gig Harbor, WA 98335 Phone: 253-530-6900 Fax: 253-530-6901 |
Ms. Kathryn Thena Matthews, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11511 Canterwood Blvd Ste 205, Gig Harbor, WA 98332 Phone: 253-530-2663 |