| Jennifer Crowe Tolo, Md | |
|
1603 116th Ave Ne Ste 110 Bellevue WA 98004-3009 | |
| (425) 458-4895 | |
| (425) 458-4895 |
| Full Name | Jennifer Crowe Tolo, Md |
|---|---|
| Speciality | Family Medicine |
| Location | 1603 116th Ave Ne Ste 110, Bellevue, Washington |
| Authorized Official Name and Position | Jennifer Crowe Tolo (OWNER) |
| Authorized Official Contact | 4258988517 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Crowe Tolo, Md 1722 211th Way Ne Sammamish WA 98074-4218 Ph: (425) 898-8517 | Jennifer Crowe Tolo, Md 1603 116th Ave Ne Ste 110 Bellevue WA 98004-3009 Ph: (425) 458-4895 |
| NPI Number | 1568650448 |
|---|---|
| Provider Enumeration Date | 10/04/2007 |
| Last Update Date | 01/12/2011 |
| Medicare PECOS PAC ID | 8022001890 |
|---|---|
| Medicare Enrollment ID | O20040407000052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568650448 | NPI | - | NPPES |
| 1119221 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00034260 (Washington) | Primary |
| Provider Name | Jennifer C Tolo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922023209 PECOS PAC ID: 4284627050 Enrollment ID: I20040415000367 |
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