Edmonds Family Medicine Clinic Ps - Medicare Primary Care in Edmonds, WA

Edmonds Family Medicine Clinic Ps is a medicare enrolled primary clinic (Family Medicine) in Edmonds, Washington. The current practice location for Edmonds Family Medicine Clinic Ps is 7315 212th St Sw, Suite 101, Edmonds, Washington. For appointments, you can reach them via phone at (425) 775-9474. The mailing address for Edmonds Family Medicine Clinic Ps is 7315 212th St Sw, Suite 101, Edmonds, Washington and phone number is (425) 775-9474.

Edmonds Family Medicine Clinic Ps is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1255736104. 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 (425) 775-9474.

Contact Information

Edmonds Family Medicine Clinic Ps
7315 212th St Sw
Suite 101
Edmonds
WA 98026-7610
(425) 775-9474
(425) 670-3554

Map and Direction


Primary Care Clinic Profile

Full NameEdmonds Family Medicine Clinic Ps
SpecialityFamily Medicine
Location7315 212th St Sw, Edmonds, Washington
Authorized Official Name and PositionMarcy Shimada (CEO)
Authorized Official Contact4256703555
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Edmonds Family Medicine Clinic Ps
7315 212th St Sw
Suite 101
Edmonds
WA 98026-7610

Ph: (425) 775-9474
Edmonds Family Medicine Clinic Ps
7315 212th St Sw
Suite 101
Edmonds
WA 98026-7610

Ph: (425) 775-9474

NPI Details:

NPI Number1255736104
Provider Enumeration Date11/04/2014
Last Update Date11/04/2014

Medicare PECOS Information:

Medicare PECOS PAC ID3779471875
Medicare Enrollment IDO20040309001440

Medical Identifiers

Medical identifiers for Edmonds Family Medicine Clinic Ps such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255736104NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207V00000XObstetrics & Gynecology (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Edmonds Family Medicine Clinic Ps acts as a billing entity for following providers:
Provider NameShawn H West
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427086800
PECOS PAC ID: 3476658733
Enrollment ID: I20070414000036
Provider NameMartin L Proudfoot
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730261744
PECOS PAC ID: 9133243207
Enrollment ID: I20100825001045
Provider NameSusanne U Quistgaard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871675892
PECOS PAC ID: 9133243090
Enrollment ID: I20100830000050
Provider NameLynne Abigail Tan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881856680
PECOS PAC ID: 7719158377
Enrollment ID: I20110913000102
Provider NameCornelia I Rolfe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720482359
PECOS PAC ID: 0547588204
Enrollment ID: I20150409002427
Provider NameMichael Lai
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720450869
PECOS PAC ID: 2264733054
Enrollment ID: I20160712002372
Provider NameLiliana B Bogin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215485651
PECOS PAC ID: 8426346925
Enrollment ID: I20161017001739

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.