Mill Creek Family Practice Pllc - Medicare Primary Care in Mill Creek, WA

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Mill Creek Family Practice Pllc is a medicare enrolled primary clinic (Family Medicine) in Mill Creek, Washington. The current practice location for Mill Creek Family Practice Pllc is 1025 153rd St Se, Suite 200, Mill Creek, Washington. For appointments, you can reach them via phone at (425) 338-4000. The mailing address for Mill Creek Family Practice Pllc is 1025 153rd St Se, Suite 200, Mill Creek, Washington and phone number is (425) 338-4000.

Mill Creek Family Practice Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1598806770. 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) 338-4000.

Contact Information

Mill Creek Family Practice Pllc
1025 153rd St Se
Suite 200
Mill Creek
WA 98012-4051
(425) 338-4000
(425) 745-6158

Map and Direction


Primary Care Clinic Profile

Full NameMill Creek Family Practice Pllc
SpecialityFamily Medicine
Location1025 153rd St Se, Mill Creek, Washington
Authorized Official Name and PositionMark T Anderson (PHYSICIAN)
Authorized Official Contact4253384000
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mill Creek Family Practice Pllc
1025 153rd St Se
Suite 200
Mill Creek
WA 98012-4051

Ph: (425) 338-4000		Mill Creek Family Practice Pllc
1025 153rd St Se
Suite 200
Mill Creek
WA 98012-4051

Ph: (425) 338-4000

NPI Details:

NPI Number1598806770
Provider Enumeration Date02/09/2007
Last Update Date02/13/2013

Medicare PECOS Information:

Medicare PECOS PAC ID8527099456
Medicare Enrollment IDO20050830000667

Medical Identifiers

Medical identifiers for Mill Creek Family Practice Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598806770NPI-NPPES
7098643MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mill Creek Family Practice Pllc acts as a billing entity for following providers:
Provider NameMatthew G Price
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962426106
PECOS PAC ID: 6305878216
Enrollment ID: I20050831000340
Provider NameWilliam W Bacon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396769634
PECOS PAC ID: 4789615618
Enrollment ID: I20050901000406
Provider NameMark T Anderson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316961659
PECOS PAC ID: 2062444821
Enrollment ID: I20050901000422
Provider NameStephen S Stukovsky
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467543306
PECOS PAC ID: 7416042734
Enrollment ID: I20071002000450
Provider NameSwapna Bobba
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043337918
PECOS PAC ID: 0042389744
Enrollment ID: I20080521000430
Provider NameLeah A Grant
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144470865
PECOS PAC ID: 4789744004
Enrollment ID: I20081117000581
Provider NameLeanna K Winant
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972651198
PECOS PAC ID: 3173838810
Enrollment ID: I20150811003233
Provider NamePamila Joy Ellis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619684891
PECOS PAC ID: 7618346362
Enrollment ID: I20221220000675
Provider NameHaley Anthes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083353841
PECOS PAC ID: 3971985565
Enrollment ID: I20230329001221

Reviews and Comments


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Phone: 425-316-8200    

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.