| Washington Foot And Ankle Sports Medicine Pllc | |
|
12911 120th Ave Ne Ste C50, Kirkland, WA 98034-3080 | |
| (425) 899-3234 | |
| (425) 899-3235 |
| Full Name | Washington Foot And Ankle Sports Medicine Pllc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Sports Medicine |
| Location | 12911 120th Ave Ne Ste C50, Kirkland, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154479327 | NPI | - | NPPES |
| 1982683322 | Other | WA | PRACTITIONER NPI |
| 1144210287 | Other | WA | PRACTITIONER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0000X | Podiatrist - Sports Medicine | PO710 (Washington) | Primary |
| Provider Name | Peter Michael Vincent |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982683322 PECOS PAC ID: 6507779196 Enrollment ID: I20031110000574 |
| Provider Name | Lawrence M Maurer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144210287 PECOS PAC ID: 1658366042 Enrollment ID: I20120508000482 |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Foot And Ankle Sports Medicine Pllc 12707 120th Ave Ne, Suite 206, Kirkland, WA 98034-7500 Ph: (425) 899-3234 | Washington Foot And Ankle Sports Medicine Pllc 12911 120th Ave Ne Ste C50, Kirkland, WA 98034-3080 Ph: (425) 899-3234 |
Yan Rong Cullen, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 13030 121st Way Ne Ste 204, Kirkland, WA 98034 Phone: 425-822-7426 | |
Dr. Stephanie Eun-hye Kim, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 13114 120th Ave Ne, Kirkland, WA 98034 Phone: 425-947-2880 Fax: 425-947-2880 | |
Dr. Kevin Dale Adolf, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 30 Lake Shore Plz, Kirkland, WA 98033 Phone: 425-822-4325 Fax: 425-777-2111 | |
Dr. Rachel Baisch Kang, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 13114 120th Ave Ne, Kirkland, WA 98034 Phone: 425-947-2880 | |
Dr. Lawrence Michael Maurer, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 12911 120th Ave Ne Ste C50, Kirkland, WA 98034 Phone: 425-899-3234 Fax: 425-899-3235 | |
Pnc Podiatry Of Washington Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 13030 121st Way Ne Ste 204, Kirkland, WA 98034 Phone: 425-822-7426 Fax: 425-827-1717 |