| Sage Medical Group | |
|
12600 Se 38th St Suite 130 Bellevue WA 98006-6105 | |
| (425) 681-9310 | |
| Not Available |
| Full Name | Sage Medical Group |
|---|---|
| Speciality | Naturopath |
| Location | 12600 Se 38th St, Bellevue, Washington |
| Authorized Official Name and Position | Sage C Wheeler (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4256819310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Medical Group 4801 152nd Pl Se Bellevue WA 98006-3663 Ph: (425) 681-9310 | Sage Medical Group 12600 Se 38th St Suite 130 Bellevue WA 98006-6105 Ph: (425) 681-9310 |
| NPI Number | 1649551037 |
|---|---|
| Provider Enumeration Date | 08/30/2011 |
| Last Update Date | 08/30/2011 |
| Medicare PECOS PAC ID | 1759539836 |
|---|---|
| Medicare Enrollment ID | O20120914000202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649551037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MD00015013 (Washington) | Secondary |
| 175F00000X | Naturopath | NT 60113319 (Washington) | Primary |
| Provider Name | David A Deichert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982732368 PECOS PAC ID: 6901063080 Enrollment ID: I20120223000128 |
| Provider Name | Jeannette M Whitefield |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528437480 PECOS PAC ID: 0941519896 Enrollment ID: I20151016000420 |
| Provider Name | Katherine Kim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659809317 PECOS PAC ID: 3870869233 Enrollment ID: I20171030003305 |
| Provider Name | Kiran Bhandari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487035630 PECOS PAC ID: 0840594552 Enrollment ID: I20180717002114 |
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