| Ideal Telemedicine Services, Llc | |
|
500 Sw 7th St Ste A205 Renton WA 98057-2983 | |
| (877) 522-1275 | |
| (833) 888-7145 |
| Full Name | Ideal Telemedicine Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 500 Sw 7th St Ste A205, Renton, Washington |
| Authorized Official Name and Position | Brian Jefferson Dawson (CMO) |
| Authorized Official Contact | 5092221275 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Telemedicine Services, Llc 500 Sw 7th St Ste A205 Renton WA 98057-2983 Ph: (877) 522-1275 | Ideal Telemedicine Services, Llc 500 Sw 7th St Ste A205 Renton WA 98057-2983 Ph: (877) 522-1275 |
| NPI Number | 1346754868 |
|---|---|
| Provider Enumeration Date | 11/20/2017 |
| Last Update Date | 04/16/2025 |
| Medicare PECOS PAC ID | 2860726221 |
|---|---|
| Medicare Enrollment ID | O20190625003692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346754868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (Washington) | Primary |
| Provider Name | Chloe Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053654541 PECOS PAC ID: 5597903419 Enrollment ID: I20130604000438 |
| Provider Name | Brian Dawson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871540435 PECOS PAC ID: 6800811993 Enrollment ID: I20170619002206 |
| Provider Name | Kristi Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821507419 PECOS PAC ID: 6406193853 Enrollment ID: I20190123003937 |
| Provider Name | Jade Ammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164836862 PECOS PAC ID: 7618196585 Enrollment ID: I20201116002636 |
| Provider Name | Nathan Kaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184060980 PECOS PAC ID: 9133363070 Enrollment ID: I20201118000573 |
| Provider Name | Carole Nguekam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518509488 PECOS PAC ID: 4587071139 Enrollment ID: I20210331000281 |
| Provider Name | Nicole Lee Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972084978 PECOS PAC ID: 5395099204 Enrollment ID: I20210824003159 |
| Provider Name | Mina Michael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124687157 PECOS PAC ID: 1850779224 Enrollment ID: I20220526001367 |
| Provider Name | Richard Mattis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821040247 PECOS PAC ID: 7113964958 Enrollment ID: I20230303000811 |
| Provider Name | Amber Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467164475 PECOS PAC ID: 1557722832 Enrollment ID: I20230831002161 |
| Provider Name | Carissa Cornell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629323605 PECOS PAC ID: 5092941229 Enrollment ID: I20231129003509 |
| Provider Name | Melissa Michele Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477798817 PECOS PAC ID: 6204992159 Enrollment ID: I20240111003028 |
| Provider Name | Heather Mcmanigal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154986560 PECOS PAC ID: 3072769967 Enrollment ID: I20240125002129 |
| Provider Name | Carissa Cornell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629323605 PECOS PAC ID: 5092941229 Enrollment ID: I20240627003499 |
Iora Senior Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 64 Rainier Ave S, Renton, WA 98057 Phone: 425-224-2144 Fax: 425-341-9653 | |
Maranatha Medical Clinic Inc P S Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17900 Talbot Rd S, #101, Renton, WA 98055 Phone: 425-235-9614 Fax: 425-235-1060 | |
Vpa Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 606 Oakesdale Ave Sw Ste C200, Renton, WA 98057 Phone: 866-259-1629 Fax: 855-666-8541 | |
Healthpoint Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 S 2nd St, Renton, WA 98057 Phone: 425-424-6310 Fax: 425-277-1566 | |
Healthpoint Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16200 116th Ave Se, Renton, WA 98058 Phone: 425-277-1311 | |
Northwest Neurological & Neurovascular Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Sw 39th St, Suite 150, Renton, WA 98057 Phone: 425-264-2568 Fax: 425-264-2569 | |
Stacey L. Hiles, M.d., Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17900 Talbot Rd S, Suite 101, Renton, WA 98055 Phone: 425-235-9614 Fax: 425-235-1060 |