Associated Valley Providers Pllc is a
Family Medicine based in Renton, Washington. Associated Valley Providers Pllc is licensed to practice in Washington (license number MD00032726) and their current practice location is
4361 Talbot Rd S Ste 112, Renton, Washington. It can be reached at their office (for appointments etc.) via phone at
(425) 255-5111.
NPI number for Associated Valley Providers Pllc is 1316249907 and their current mailing address is 4361 Talbot Rd S Ste 112, Renton, Washington. Associated Valley Providers Pllc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1316249907.
Healthcare Provider's Profile
| Full Name | Associated Valley Providers Pllc |
|---|
| Type | Facility |
|---|
| Speciality | Family Medicine |
|---|
| Location | 4361 Talbot Rd S Ste 112, Renton, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316249907
- Provider Enumeration Date: 12/02/2010
- Last Update Date: 12/02/2010
Medical Identifiers
Medical identifiers for Associated Valley Providers Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1316249907 | NPI | - | NPPES |
| 7112634 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO00000396 (Washington) | Secondary |
| 363L00000X | Nurse Practitioner | AP30004306 (Washington) | Secondary |
| 207Q00000X | Family Medicine | MD00032726 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Associated Valley Providers Pllc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Associated Valley Providers Pllc 4361 Talbot Rd S Ste 112, Renton, WA 98055-6226 Ph: (425) 255-5111 | Associated Valley Providers Pllc 4361 Talbot Rd S Ste 112, Renton, WA 98055-6226 Ph: (425) 255-5111 |
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