| Advanced Family Medicine, Pllc | |
|
2007 152nd Ave Ne Redmond WA 98052-5521 | |
| (425) 453-6838 | |
| (425) 456-0106 |
| Full Name | Advanced Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2007 152nd Ave Ne, Redmond, Washington |
| Authorized Official Name and Position | Irine Vaiman (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4254536838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Family Medicine, Pllc 2007 152nd Ave Ne Redmond WA 98052-5521 Ph: (425) 453-6838 | Advanced Family Medicine, Pllc 2007 152nd Ave Ne Redmond WA 98052-5521 Ph: (425) 453-6838 |
| NPI Number | 1326013996 |
|---|---|
| Provider Enumeration Date | 02/17/2006 |
| Last Update Date | 09/14/2010 |
| Medicare PECOS PAC ID | 2062309214 |
|---|---|
| Medicare Enrollment ID | O20040302000779 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326013996 | NPI | - | NPPES |
| 7087455 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Natalia Pasumansky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366417909 PECOS PAC ID: 2365473410 Enrollment ID: I20050829000246 |
| Provider Name | Vinette Zabriskie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245218221 PECOS PAC ID: 6103722947 Enrollment ID: I20081008000666 |
| Provider Name | Irfan A Ansari |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497711162 PECOS PAC ID: 4789571878 Enrollment ID: I20091116000598 |
| Provider Name | Yakov Grinberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417922048 PECOS PAC ID: 5294899167 Enrollment ID: I20100719000829 |
| Provider Name | Irine Vaiman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366417982 PECOS PAC ID: 6406743657 Enrollment ID: I20100730000325 |
| Provider Name | Vina Sadang Cruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225273469 PECOS PAC ID: 9436336765 Enrollment ID: I20230717001374 |
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