| Skokomish Tribal Council | |
|
100 N Tribal Center Rd Skokomish Nation WA 98584-9748 | |
| (360) 426-5755 | |
| (360) 877-2032 |
| Full Name | Skokomish Tribal Council |
|---|---|
| Speciality | Family Medicine |
| Location | 100 N Tribal Center Rd, Skokomish Nation, Washington |
| Authorized Official Name and Position | Frances L Longshore (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 3604265755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Skokomish Tribal Council 100 N Tribal Center Rd Skokomish Nation WA 98584-9748 Ph: (360) 426-5755 | Skokomish Tribal Council 100 N Tribal Center Rd Skokomish Nation WA 98584-9748 Ph: (360) 426-5755 |
| NPI Number | 1316056096 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 02/08/2012 |
| Medicare PECOS PAC ID | 7719060375 |
|---|---|
| Medicare Enrollment ID | O20080206000263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316056096 | NPI | - | NPPES |
| 2000539 | Medicaid | WA | |
| 1980796 | Medicaid | WA | |
| 1981067 | Medicaid | WA | |
| 7057508 | Medicaid | WA | |
| 1044601 | Medicaid | WA | |
| 7133473 | Medicaid | WA | |
| 1007457 | Medicaid | WA | |
| 5400072 | Medicaid | WA | |
| 7048267 | Medicaid | WA | |
| 2031961 | Medicaid | WA | |
| 1042775 | Medicaid | WA | |
| 1991512 | Medicaid | WA | |
| 5021258 | Medicaid | WA |
| Provider Name | Deborah Behre |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790994820 PECOS PAC ID: 3779509773 Enrollment ID: I20120224000054 |
| Provider Name | Kateryna Sergiyivna Ivanova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699066373 PECOS PAC ID: 5294964318 Enrollment ID: I20150820010633 |
| Provider Name | Josef Scott |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1972546919 PECOS PAC ID: 5890797971 Enrollment ID: I20171102002176 |
| Provider Name | Darren Cuevas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023497310 PECOS PAC ID: 2961707393 Enrollment ID: I20240926000854 |
| Provider Name | Maren Lothyan Zaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841739745 PECOS PAC ID: 4688951882 Enrollment ID: I20241218002820 |
| Provider Name | Claus Henner Janssen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992758312 PECOS PAC ID: 9931003381 Enrollment ID: I20250305000586 |
| Provider Name | Donna Ann Lerma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972589877 PECOS PAC ID: 8527329366 Enrollment ID: I20250307000350 |