University Place Family Care - Medicare Primary Care in University Place, WA

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University Place Family Care is a medicare enrolled primary clinic (Clinic/center - Primary Care) in University Place, Washington. The current practice location for University Place Family Care is 4114 Bridgeport Way W, University Place, Washington. For appointments, you can reach them via phone at (253) 564-4157. The mailing address for University Place Family Care is 4114 Bridgeport Way W, University Place, Washington and phone number is (253) 564-4157.

University Place Family Care is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1457873002. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (253) 564-4157.

Contact Information

University Place Family Care
4114 Bridgeport Way W
University Place
WA 98466-4315
(253) 564-4157
(253) 564-4813

Map and Direction


Primary Care Clinic Profile

Full NameUniversity Place Family Care
SpecialityClinic/Center
Location4114 Bridgeport Way W, University Place, Washington
Authorized Official Name and PositionMitra Hanjani (OWNER)
Authorized Official Contact2535644157
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
University Place Family Care
4114 Bridgeport Way W
University Place
WA 98466-4315

Ph: (253) 564-4157		University Place Family Care
4114 Bridgeport Way W
University Place
WA 98466-4315

Ph: (253) 564-4157

NPI Details:

NPI Number1457873002
Provider Enumeration Date07/14/2017
Last Update Date07/28/2023

Medicare PECOS Information:

Medicare PECOS PAC ID2365715026
Medicare Enrollment IDO20170831003358

Medical Identifiers

Medical identifiers for University Place Family Care such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457873002NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
261QP2300XClinic/center - Primary Care (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. University Place Family Care acts as a billing entity for following providers:
Provider NameGlenn J Kietzer
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1003847179
PECOS PAC ID: 8729188701
Enrollment ID: I20070703000684
Provider NameTimothy M Kobernik
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588733604
PECOS PAC ID: 6901093277
Enrollment ID: I20101213000579
Provider NamePeggy A Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467504084
PECOS PAC ID: 5395906762
Enrollment ID: I20120411000440
Provider NameMitra Hanjani
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881897601
PECOS PAC ID: 9638358450
Enrollment ID: I20170831003389
Provider NameMalisa Marie Hammett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649799826
PECOS PAC ID: 0143595926
Enrollment ID: I20180517000127
Provider NameAriel Carmichael
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598301038
PECOS PAC ID: 2961897475
Enrollment ID: I20220321000670

Reviews and Comments


Clinic/Center in University Place, WA

Physiotherapy Assoicates, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3929 Bridgeport Way W Ste 208, University Place, WA 98466
Phone: 253-533-9023    
Kristie Mattern Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 7902 27th St W Ste 7a, University Place, WA 98466
Phone: 253-500-4059    
Starbird Rising Wellness
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 5323 98th Avenue Ct W, University Place, WA 98467
Phone: 253-686-1195    Fax: 253-201-7025
Shifa Healthcare Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4817 70th Ave W, University Place, WA 98467
Phone: 253-565-8269    
Right Physicians Md Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 6940 35th St W, University Place, WA 98466
Phone: 360-522-5222    
Medtriq Treatment Center Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2603 Bridgeport Way W Ste F, University Place, WA 98466
Phone: 253-666-6780    Fax: 253-666-6793
Fasa Family Wellness Pllc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 3929 Bridgeport Way W Ste 308, University Place, WA 98466
Phone: 253-272-2999    Fax: 253-272-4699

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.