Maksportsmd - Medicare Primary Care in Bothell, WA

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Maksportsmd is a medicare enrolled primary clinic (Family Medicine - Sports Medicine) in Bothell, Washington. The current practice location for Maksportsmd is 19110 Bothell Way Ne Ste 102, Bothell, Washington. For appointments, you can reach them via phone at (425) 286-8271. The mailing address for Maksportsmd is 19110 Bothell Way Ne Ste 102, Bothell, Washington and phone number is () -.

Maksportsmd is licensed to practice in Washington (license number 60465979). The clinic also participates in the medicare program and its NPI number is 1417469404. 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) 286-8271.

Contact Information

Maksportsmd
19110 Bothell Way Ne Ste 102
Bothell
WA 98011-2970
(425) 286-8271
(425) 491-7271

Map and Direction


Primary Care Clinic Profile

Full NameMaksportsmd
SpecialityFamily Medicine
Location19110 Bothell Way Ne Ste 102, Bothell, Washington
Authorized Official Name and PositionAbimbolu Makinde (OWNER)
Authorized Official Contact4252868271
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Maksportsmd
19110 Bothell Way Ne Ste 102
Bothell
WA 98011-2970

Ph: () -		Maksportsmd
19110 Bothell Way Ne Ste 102
Bothell
WA 98011-2970

Ph: (425) 286-8271

NPI Details:

NPI Number1417469404
Provider Enumeration Date10/30/2017
Last Update Date10/30/2017

Medicare PECOS Information:

Medicare PECOS PAC ID9739448234
Medicare Enrollment IDO20180108002433

Medical Identifiers

Medical identifiers for Maksportsmd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417469404NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine 60465979 (Washington)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Maksportsmd acts as a billing entity for following providers:
Provider NameQuynh-anh T Phan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255791414
PECOS PAC ID: 7012214190
Enrollment ID: I20160405001455
Provider NameAbimbolu S. Makinde
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1669769337
PECOS PAC ID: 7618285982
Enrollment ID: I20180108002696
Provider NameYanqun Bu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457697526
PECOS PAC ID: 0840545141
Enrollment ID: I20180608001137
Provider NameAmanda S Macklin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740707967
PECOS PAC ID: 2567737182
Enrollment ID: I20200529000614
Provider NameJessica Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851069538
PECOS PAC ID: 1355730607
Enrollment ID: I20211108002898

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.