Dr John Kittrell Clyde, DPM | |
27500 168th Pl Se, Covington, WA 98042-5563 | |
(425) 690-3510 | |
(425) 690-9510 |
Full Name | Dr John Kittrell Clyde |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 15 Years |
Location | 27500 168th Pl Se, Covington, 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 |
---|---|---|---|
1831402841 | NPI | - | NPPES |
2020121 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | PO60253252 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Valley Medical Center | Renton, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Inland Northwest Surgery Center Pllc | 0648169094 | 3 |
Valley Medical Group-renton | 4183753965 | 408 |
Provider Name | Inland Northwest Surgery Center Pllc |
---|---|
Provider Type | Part B Supplier - Ambulatory Surgical Center |
Provider Identifiers | NPI Number: 1467637116 PECOS PAC ID: 0648169094 Enrollment ID: O20040312001108 |
Provider Name | Inland Northwest Surgery Center Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134127657 PECOS PAC ID: 0648169094 Enrollment ID: O20050420001286 |
Provider Name | Valley Medical Group-renton |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619209574 PECOS PAC ID: 4183753965 Enrollment ID: O20100604000113 |
Mailing Address | Practice Location Address |
---|---|
Dr John Kittrell Clyde, DPM 3600 Lind Ave Sw, Suite 100 Attn Credentialing, Renton, WA 98057-4970 Ph: (425) 690-2715 | Dr John Kittrell Clyde, DPM 27500 168th Pl Se, Covington, WA 98042-5563 Ph: (425) 690-3510 |
Kent Foot & Ankle Clinic Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 17700 Se 272nd St Ste 370, Covington, WA 98042 Phone: 253-631-0585 | |
Andrew Park, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 27500 168th Pl Se, Covington, WA 98042 Phone: 425-690-3430 Fax: 425-690-9430 | |
Ryan Alan Bierman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 17700 Se 272nd St, Suite 370, Covington, WA 98042 Phone: 253-631-0585 Fax: 253-631-0596 | |
Kent Foot & Ankle Clinic Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 17700 Se 272nd St, Suite 370, Covington, WA 98042 Phone: 253-631-0585 Fax: 253-631-0596 |