| Overlake Family Medicine | |
|
3080 148th Ave Se Suite 115 Bellevue WA 98007-6420 | |
| (425) 378-8190 | |
| (425) 649-1523 |
| Full Name | Overlake Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 3080 148th Ave Se, Bellevue, Washington |
| Authorized Official Name and Position | Andrew Appelbaum (OWNER/MANAGEING PARTNER) |
| Authorized Official Contact | 4253788190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Overlake Family Medicine 3080 148th Ave Se Suite 115 Bellevue WA 98007-6420 Ph: (425) 378-8190 | Overlake Family Medicine 3080 148th Ave Se Suite 115 Bellevue WA 98007-6420 Ph: (425) 378-8190 |
| NPI Number | 1114010535 |
|---|---|
| Provider Enumeration Date | 09/30/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5597656728 |
|---|---|
| Medicare Enrollment ID | O20040324001290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114010535 | NPI | - | NPPES |
| 0160886 | Other | WA | LABOR & INDUSTRY NUMBER |
| 7112543 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Washington) | Primary |
| Provider Name | Martha A Riggers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003909326 PECOS PAC ID: 8820070378 Enrollment ID: I20040607001088 |
| Provider Name | Andrew M Appelbaum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669565081 PECOS PAC ID: 3476444613 Enrollment ID: I20100812000710 |
| Provider Name | Jamie M Hilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841683877 PECOS PAC ID: 5496067746 Enrollment ID: I20150630000954 |
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