104th Avenue Medical Clinic Incorporated in Kent, WA

104th Avenue Medical Clinic Incorporated is a medicare enrolled primary clinic (Clinic/center) in Kent, Washington. The current practice location for 104th Avenue Medical Clinic Incorporated is 24604 104th Ave Se, # 202, Kent, Washington. For appointments, you can reach them via phone at (253) 859-8371. The mailing address for 104th Avenue Medical Clinic Incorporated is 24604 104th Ave Se, # 202, Kent, Washington and phone number is (253) 859-8371.

104th Avenue Medical Clinic Incorporated is licensed to practice in Washington (license number 37861). The clinic also participates in the medicare program and its NPI number is 1396921326. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (253) 859-8371.

Contact Information

	104th Avenue Medical Clinic Incorporated
	24604 104th Ave Se # 202 Kent WA 98030-5385
	(253) 859-8371
	(253) 859-9593

Map and Direction

Primary Care Clinic Profile

Full Name	104th Avenue Medical Clinic Incorporated
Speciality	Clinic/Center
Location	24604 104th Ave Se, Kent, Washington
Authorized Official Name and Position	Ranu Choudhary (VICE-PRESIDENT)
Authorized Official Contact	2538598371
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
104th Avenue Medical Clinic Incorporated 24604 104th Ave Se # 202 Kent WA 98030-5385 Ph: (253) 859-8371	104th Avenue Medical Clinic Incorporated 24604 104th Ave Se # 202 Kent WA 98030-5385 Ph: (253) 859-8371

NPI Details:

NPI Number	1396921326
Provider Enumeration Date	01/22/2008
Last Update Date	10/01/2014

Medicare PECOS Information:

Medicare PECOS PAC ID	7618054354
Medicare Enrollment ID	O20080407000040

Medical Identifiers

Medical identifiers for 104th Avenue Medical Clinic Incorporated such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396921326	NPI	-	NPPES
1110378	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	37861 (Washington)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. 104th Avenue Medical Clinic Incorporated acts as a billing entity for following providers:

Provider Name	Ranu Choudhary
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1386664183 PECOS PAC ID: 6103739834 Enrollment ID: I20031110000266

Reviews and Comments

Clinic/Center in Kent, WA

Dhaliwal Optometry Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12417 Se 265th Ct, Kent, WA 98030 Phone: 253-275-8529
Matter Therapeutic Group Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13106 Se 240th St Ste 106, Kent, WA 98031 Phone: 425-998-9728
Bussard Chiropractic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24837 104th Ave Se Ste 100, Kent, WA 98030 Phone: 253-854-7700
Healthpoint Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 219 State Ave N, Ste 100, Kent, WA 98030 Phone: 253-372-3602
Charanjit K. Lamba M.d. P.s. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 24703 38th Ave S, Kent, WA 98032 Phone: 253-839-0413
Easthill Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10413 Se 244th St, Kent, WA 98030 Phone: 253-852-2770
Schlosser Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25821 104th Ave Se, Kent, WA 98030 Phone: 253-854-1181 Fax: 253-850-9620

104th Avenue Medical Clinic Incorporated - Medicare Primary Care in Kent, WA