| Myrostar Pllc | |
|
1515 116th Ave Ne Ste 101 Bellevue WA 98004-3811 | |
| (206) 687-1558 | |
| Not Available |
| Full Name | Myrostar Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1515 116th Ave Ne Ste 101, Bellevue, Washington |
| Authorized Official Name and Position | Judy Hsu (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2066871558 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Myrostar Pllc 2311 N 45th St # 272 Seattle WA 98103-6905 Ph: () - | Myrostar Pllc 1515 116th Ave Ne Ste 101 Bellevue WA 98004-3811 Ph: (206) 687-1558 |
| NPI Number | 1346010659 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 01/08/2024 |
| Medicare PECOS PAC ID | 6507304599 |
|---|---|
| Medicare Enrollment ID | O20240821004285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346010659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Judy Li-fang Hsu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841551769 PECOS PAC ID: 9638392145 Enrollment ID: I20200127001528 |
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