| Bellevue Legacy Primary Care Pllc | |
|
2820 Northup Way Ste 200 Bellevue WA 98004-1498 | |
| (425) 484-4050 | |
| (425) 488-4050 |
| Full Name | Bellevue Legacy Primary Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2820 Northup Way Ste 200, Bellevue, Washington |
| Authorized Official Name and Position | Devin Schock (PHYSICIAN) |
| Authorized Official Contact | 4254844050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellevue Legacy Primary Care Pllc 2820 Northup Way Ste 200 Bellevue WA 98004-1498 Ph: (425) 484-4050 | Bellevue Legacy Primary Care Pllc 2820 Northup Way Ste 200 Bellevue WA 98004-1498 Ph: (425) 484-4050 |
| NPI Number | 1619712320 |
|---|---|
| Provider Enumeration Date | 06/26/2024 |
| Last Update Date | 07/02/2024 |
| Medicare PECOS PAC ID | 0749720860 |
|---|---|
| Medicare Enrollment ID | O20240904001629 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619712320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Devin P Schock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649617382 PECOS PAC ID: 3870813785 Enrollment ID: I20161004002976 |
| Provider Name | Jenna Lynn Donnerberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952132359 PECOS PAC ID: 8325565625 Enrollment ID: I20250509001562 |
Vip Family Medicine Clinic, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15611 Bel Red Rd Ste 100, Bellevue, WA 98008 Phone: 810-569-2304 | |
Mediart Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1530 140th Ave Ne Ste 101, Bellevue, WA 98005 Phone: 425-233-8254 Fax: 425-454-7827 | |
Highland Middle School Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15027 Ne Bel Red Rd, Bellevue, WA 98007 Phone: 425-373-3135 | |
Jkw Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11504 Ne 21st St, Bellevue, WA 98004 Phone: 425-698-3033 Fax: 425-968-6357 | |
Hotel California By The Sea Bellevue, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 114th Ave Se Ste 180, Bellevue, WA 98004 Phone: 844-766-8717 | |
Healthscan Of Washington Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6282 119th Ave Se, Bellevue, WA 98006 Phone: 206-922-9951 | |
Rediclinic Of Wa, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3905 Factoria Mall Se, Bellevue, WA 98006 Phone: 713-335-1754 |