| Senior Doc Wa Pc | |
|
912 State Ave Marysville WA 98270-4239 | |
| (855) 434-7763 | |
| (949) 281-5550 |
| Full Name | Senior Doc Wa Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 912 State Ave, Marysville, Washington |
| Authorized Official Name and Position | Angelica Soto (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7147025145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Doc Wa Pc 5 Hutton Centre Dr Ste 950 Santa Ana CA 92707-8744 Ph: (855) 434-7763 | Senior Doc Wa Pc 912 State Ave Marysville WA 98270-4239 Ph: (855) 434-7763 |
| NPI Number | 1588430367 |
|---|---|
| Provider Enumeration Date | 12/01/2023 |
| Last Update Date | 09/11/2025 |
| Medicare PECOS PAC ID | 4385087337 |
|---|---|
| Medicare Enrollment ID | O20250212002348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588430367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeffrey Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932337136 PECOS PAC ID: 7315101003 Enrollment ID: I20241009001526 |
| Provider Name | Anthony Yniguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871185686 PECOS PAC ID: 2769882331 Enrollment ID: I20241230002681 |
| Provider Name | Christina Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790499218 PECOS PAC ID: 1759753098 Enrollment ID: I20250114002993 |
| Provider Name | Alexi Yarashevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306340831 PECOS PAC ID: 6406119304 Enrollment ID: I20250116000540 |
| Provider Name | John Mark Geiss |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1053651497 PECOS PAC ID: 5890933071 Enrollment ID: I20250212002408 |
| Provider Name | Sarah Lockwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972193217 PECOS PAC ID: 1052725249 Enrollment ID: I20250612003497 |
Providence Health & Services - Washington Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11603 State Ave, Suite G, Marysville, WA 98271 Phone: 360-658-6800 Fax: 360-658-6819 | |
Grace Health Clinic And Urgent Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1106 Columbia Ave Ste 125, Marysville, WA 98270 Phone: 360-200-1696 Fax: 360-972-7269 | |
Stork Midwifery Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1523 10th St, Marysville, WA 98270 Phone: 425-350-1654 | |
Kaiser Foundation Health Plan Of Washington Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2335 172nd St Ne, Marysville, WA 98271 Phone: 360-651-1550 Fax: 360-651-1560 | |
Western Washington Medical Group, Inc Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4404 80th St Ne, Marysville, WA 98270 Phone: 360-659-1231 | |
4th Street Medical Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1602 4th St, Marysville, WA 98270 Phone: 360-659-4141 Fax: 360-659-1712 |