| Northwest Geriatrics | |
|
9725 Se 36th St. Suite 214 Mercer Island WA 98040 | |
| (206) 275-3588 | |
| (206) 275-2073 |
| Full Name | Northwest Geriatrics |
|---|---|
| Speciality | Internal Medicine |
| Location | 9725 Se 36th St., Mercer Island, Washington |
| Authorized Official Name and Position | John H. Addison (OWNER) |
| Authorized Official Contact | 2062753588 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Geriatrics Po Box 1526 Mercer Island WA 98040 Ph: (206) 275-3588 | Northwest Geriatrics 9725 Se 36th St. Suite 214 Mercer Island WA 98040 Ph: (206) 275-3588 |
| NPI Number | 1497706774 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 01/05/2017 |
| Medicare PECOS PAC ID | 9335032887 |
|---|---|
| Medicare Enrollment ID | O20040206000718 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497706774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (Washington) | Primary |
| Provider Name | Susan M Blue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265543839 PECOS PAC ID: 9234022476 Enrollment ID: I20040203000608 |
| Provider Name | John H Addison |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1659323087 PECOS PAC ID: 2961395413 Enrollment ID: I20040921000058 |
| Provider Name | Mary E Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871635292 PECOS PAC ID: 8628022241 Enrollment ID: I20050308000126 |
| Provider Name | Daniel S Raskind |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1518034834 PECOS PAC ID: 8224064795 Enrollment ID: I20050715000403 |
| Provider Name | Janice L Bishop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174575518 PECOS PAC ID: 9638196066 Enrollment ID: I20051025001021 |
| Provider Name | David J Roesel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073693065 PECOS PAC ID: 6608897640 Enrollment ID: I20051219000083 |
| Provider Name | Lester R Sauvage |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013904887 PECOS PAC ID: 1759384464 Enrollment ID: I20060818000479 |
| Provider Name | Lorri J Berge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184774036 PECOS PAC ID: 5294828554 Enrollment ID: I20070904000222 |
| Provider Name | Yen-tsun Lai |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1790727535 PECOS PAC ID: 4284712753 Enrollment ID: I20080423000745 |
| Provider Name | Michelle E Meako |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043545254 PECOS PAC ID: 3678612751 Enrollment ID: I20091202000719 |
| Provider Name | Duong M Duong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831154293 PECOS PAC ID: 4688855265 Enrollment ID: I20110302000594 |
| Provider Name | Robin H Fontana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063463321 PECOS PAC ID: 4284894718 Enrollment ID: I20120321000090 |
| Provider Name | Heather I Gates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922376052 PECOS PAC ID: 0042472714 Enrollment ID: I20120426000192 |
| Provider Name | Ha N Ta |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568437069 PECOS PAC ID: 0648312090 Enrollment ID: I20121120000566 |
| Provider Name | Lisa A Pujol Boe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548343122 PECOS PAC ID: 7517986532 Enrollment ID: I20130801000796 |
| Provider Name | Laura A Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477989895 PECOS PAC ID: 3476789983 Enrollment ID: I20131111001199 |
| Provider Name | Manami Honda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023444544 PECOS PAC ID: 1052547585 Enrollment ID: I20131112000005 |
| Provider Name | Stephanie R Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740557289 PECOS PAC ID: 4587831094 Enrollment ID: I20141217000168 |
| Provider Name | Danial Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366845257 PECOS PAC ID: 6002132289 Enrollment ID: I20150305001563 |
| Provider Name | Joanne L Osetsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003004573 PECOS PAC ID: 6103963236 Enrollment ID: I20150730014189 |
| Provider Name | Sarah A Hamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265880611 PECOS PAC ID: 9931497930 Enrollment ID: I20161006001565 |
| Provider Name | Alisa J Bieber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750968368 PECOS PAC ID: 3577960673 Enrollment ID: I20210915003835 |
| Provider Name | Tyler Z Mortensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588333744 PECOS PAC ID: 2163820788 Enrollment ID: I20211013000573 |
Cura Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8820 Se 60th St, Mercer Island, WA 98040 Phone: 505-413-3719 | |
Qliance Medical Group Of Wa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7707 Se 27th St, Suite 104, Mercer Island, WA 98040 Phone: 206-275-4000 Fax: 206-913-4710 | |
Mercer Island Family Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3003 Island Crest Way, Mercer Island, WA 98040 Phone: 586-850-4645 | |
Mercer Island Acupuncture & Oriental Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2955 80th Ave Se Ste 108, Mercer Island, WA 98040 Phone: 206-335-8856 Fax: 206-209-2068 | |
Sentinel Healthcare Wa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2220 76th Ave Se, Mercer Island, WA 98040 Phone: 812-760-5313 | |
Elite Medicine, Aesthetics & Rejuvenation Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8015 Se 28th St Ste 310, Mercer Island, WA 98040 Phone: 206-858-2617 | |
Mercer Island Medical Imaging, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9655 Se 36th St, Suite 107, Mercer Island, WA 98040 Phone: 253-761-4200 Fax: 253-383-3553 |