| Bradley Jellerichs Arnp Pllc | |
|
34616 11th Pl S Ste 2 Federal Way WA 98003-8705 | |
| (253) 251-2688 | |
| (425) 440-3959 |
| Full Name | Bradley Jellerichs Arnp Pllc |
|---|---|
| Speciality | Dermatology |
| Location | 34616 11th Pl S Ste 2, Federal Way, Washington |
| Authorized Official Name and Position | Bradley Gail Jellerichs (OWNER) |
| Authorized Official Contact | 2532512688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Jellerichs Arnp Pllc 1100 Bellevue Way Ne Ste 8a-324 Bellevue WA 98004-4280 Ph: (253) 251-2688 | Bradley Jellerichs Arnp Pllc 34616 11th Pl S Ste 2 Federal Way WA 98003-8705 Ph: (253) 251-2688 |
| NPI Number | 1386954956 |
|---|---|
| Provider Enumeration Date | 10/18/2010 |
| Last Update Date | 12/12/2023 |
| Medicare PECOS PAC ID | 8527395698 |
|---|---|
| Medicare Enrollment ID | O20190812003909 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386954956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 603049127 (Washington) | Secondary |
| 207N00000X | Dermatology | (* (Not Available)) | Primary |
| Provider Name | Bradley Jellerichs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841436417 PECOS PAC ID: 9436335296 Enrollment ID: I20110512000658 |
| Provider Name | Michael W Cashman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1235427584 PECOS PAC ID: 4183045388 Enrollment ID: I20211026003049 |
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