| Northwest Foot And Ankle Specialists, Llc | |
|
12900 Ne 180th St Ste 150, Bothell, WA 98011-5778 | |
| (206) 365-5484 | |
| (206) 365-5714 |
| Full Name | Northwest Foot And Ankle Specialists, Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 12900 Ne 180th St Ste 150, Bothell, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790337194 | NPI | - | NPPES |
| 1205932191 | Other | WA | PROVIDER NPI |
| 1106699 | Medicaid | WA | |
| 1043268 | Medicaid | WA | |
| 5815682 | Other | WA | AETNA |
| HA0967 | Other | WA | REGENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Provider Name | Kelly Jean Hall |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205932191 PECOS PAC ID: 9436275518 Enrollment ID: I20100927000271 |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Foot And Ankle Specialists, Llc 12900 Ne 180th St, Ste 150, Bothell, WA 98011 Ph: (206) 365-5484 | Northwest Foot And Ankle Specialists, Llc 12900 Ne 180th St Ste 150, Bothell, WA 98011-5778 Ph: (206) 365-5484 |
Miss Kelly Jean Hall, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 12900 Ne 180th St Ste 150, Bothell, WA 98011 Phone: 206-365-5484 Fax: 206-365-5714 | |
Dr. Shi-yuan Cheng, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 18525 101st Ave Ne, Ste. 3, Bothell, WA 98011 Phone: 425-806-1943 Fax: 425-402-3900 |