| Ideal Telemedicine Services, Llc | |
|
5615 Dunbarton Ave Pasco WA 99301-8216 | |
| (509) 570-9302 | |
| (833) 888-7145 |
| Full Name | Ideal Telemedicine Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5615 Dunbarton Ave, Pasco, Washington |
| Authorized Official Name and Position | Jeffrey Todd Allgaier (CEO) |
| 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 8656 W Gage Blvd Ste 301b Kennewick WA 99336-7145 Ph: (509) 222-1275 | Ideal Telemedicine Services, Llc 5615 Dunbarton Ave Pasco WA 99301-8216 Ph: (509) 570-9302 |
| NPI Number | 1346754868 |
|---|---|
| Provider Enumeration Date | 11/20/2017 |
| Last Update Date | 05/21/2019 |
| Medicare PECOS PAC ID | 2860726221 |
|---|---|
| Medicare Enrollment ID | O20190619001359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346754868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Washington) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Traci A Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841293347 PECOS PAC ID: 3779685185 Enrollment ID: I20070302000200 |
| Provider Name | Nathan Kaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184060980 PECOS PAC ID: 9133363070 Enrollment ID: I20181003001401 |
| Provider Name | Jeffrey Todd Allgaier |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1659300374 PECOS PAC ID: 9830195742 Enrollment ID: I20181003001495 |
| Provider Name | Jaclyn Susan Roers Kassen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538538707 PECOS PAC ID: 4789954421 Enrollment ID: I20181025001357 |
| Provider Name | Rachael Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356843361 PECOS PAC ID: 8527321157 Enrollment ID: I20181025001767 |
| Provider Name | Brian Dawson |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1871540435 PECOS PAC ID: 6800811993 Enrollment ID: I20190225001725 |
| Provider Name | Carissa Cornell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629323605 PECOS PAC ID: 5092941229 Enrollment ID: I20190523000561 |
| Provider Name | Ashley Tebay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083143580 PECOS PAC ID: 1052673522 Enrollment ID: I20190617000831 |
| Provider Name | Jade Danielle Ammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164836862 PECOS PAC ID: 7618196585 Enrollment ID: I20191204001379 |
| Provider Name | Ruth Ola Osueke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104358704 PECOS PAC ID: 3274882329 Enrollment ID: I20200203002185 |
| Provider Name | Bernard Joseph Navarro Pulido |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194930537 PECOS PAC ID: 7618016957 Enrollment ID: I20210823000681 |
| Provider Name | Andrea Munder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801287529 PECOS PAC ID: 7719204221 Enrollment ID: I20220908003653 |
Ppgwni Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3901 W Court, Pasco, WA 99301 Phone: 866-904-7721 Fax: 509-545-8932 | |
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Chc La Clinica - Health Maint. Org Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 W Court St, Pasco, WA 99301 Phone: 509-547-2204 Fax: 509-542-8836 | |
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Associated Family Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 531 W Park St, Suite 3, Pasco, WA 99301 Phone: 509-547-6617 Fax: 509-547-6435 | |
Alex B Najera Md Ps Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1620 N Road 44, Pasco, WA 99301 Phone: 509-544-2156 Fax: 509-544-2158 | |
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