| Cedarcare | |
|
4300 Talbot Rd S Ste 314 Renton WA 98055-6238 | |
| (425) 255-4742 | |
| Not Available |
| Full Name | Cedarcare |
|---|---|
| Speciality | Case Management |
| Location | 4300 Talbot Rd S Ste 314, Renton, Washington |
| Authorized Official Name and Position | Eugene Gu (CEO) |
| Authorized Official Contact | 4257280907 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedarcare 4300 Talbot Rd S Ste 314 Renton WA 98055-6238 Ph: (425) 728-0907 | Cedarcare 4300 Talbot Rd S Ste 314 Renton WA 98055-6238 Ph: (425) 255-4742 |
| NPI Number | 1407566961 |
|---|---|
| Provider Enumeration Date | 11/24/2022 |
| Last Update Date | 04/30/2023 |
| Medicare PECOS PAC ID | 9830558691 |
|---|---|
| Medicare Enrollment ID | O20230711003482 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407566961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
| Provider Name | Michael Grabinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003066366 PECOS PAC ID: 1759555808 Enrollment ID: I20111129000599 |
| Provider Name | Sue Xuan Poon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528561115 PECOS PAC ID: 2466709803 Enrollment ID: I20180717002315 |
| Provider Name | Eugene Gu |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1659753176 PECOS PAC ID: 5698198802 Enrollment ID: I20220425001909 |
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