| Tai Chinnock Manley, PA-C | |
|
11511 Ne 10th St, Bellevue, WA 98004-8578 | |
| (425) 502-3000 | |
| (844) 620-1839 |
| Full Name | Tai Chinnock Manley |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 11511 Ne 10th St, Bellevue, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306474135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA61205830 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Island Hospital | Anacortes, WA | Hospital |
| Cascade Medical Center | Leavenworth, WA | Hospital |
| Swedish Medical Center | Seattle, WA | Hospital |
| Harborview Medical Center | Seattle, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kaiser Foundation Health Plan Of Washington | 9032022579 | 1519 |
| Swedish Health Services | 9537072814 | 384 |
| The Association Of University Physicians | 0446162697 | 3484 |
| Entity Name | The Association of University Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244 |
| Entity Name | Swedish Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831139724 PECOS PAC ID: 9537072814 Enrollment ID: O20031112000189 |
| 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 |
| Entity Name | Public Hospital District No 2 Skagit County Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740203967 PECOS PAC ID: 1153225198 Enrollment ID: O20031121000440 |
| Entity Name | Ballard Emergency Physicians PS |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619909256 PECOS PAC ID: 1052209368 Enrollment ID: O20040309000049 |
| Entity Name | Northwest Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235172370 PECOS PAC ID: 3476462334 Enrollment ID: O20041214000892 |
| Entity Name | Sound Physicians Emergency Medicine of Washington PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629532064 PECOS PAC ID: 7315279007 Enrollment ID: O20191030000855 |
| Mailing Address | Practice Location Address |
|---|---|
| Tai Chinnock Manley, PA-C 325 9th Ave, Seattle, WA 98104-2499 Ph: (541) 965-2078 | Tai Chinnock Manley, PA-C 11511 Ne 10th St, Bellevue, WA 98004-8578 Ph: (425) 502-3000 |
Miss Christine Reichert, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1231 116th Ave Ne Ste 515, Bellevue, WA 98004 Phone: 425-635-3050 |
Maria Lee Imbesi, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1110 112th Ave Ne, Suite 150, Bellevue, WA 98004 Phone: 425-450-0880 |
Laura R Wendzich, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 11695 Ne 4th St, Bellevue, WA 98004 Phone: 425-637-1855 Fax: 425-344-7970 |
Hagen Robert Nelson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1035 116th Ave Ne, Bellevue, WA 98004 Phone: 425-688-5000 |
Paula J Lins, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3000 |
Patrick Duffy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1035 116th Ave Ne, Bellevue, WA 98004 Phone: 425-688-5000 |
Mr. Finn Shea, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1800 116th Ave Ne Ste 102, Bellevue, WA 98004 Phone: 425-947-9485 |