<unavail> in Seattle, WA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center) in Seattle, Washington. The current practice location for is 400 Ne 45th St, Suite 011, Seattle, Washington. For appointments, you can reach them via phone at (206) 522-3131. The mailing address for is 400 Ne 45th St, Suite 011, Seattle, Washington and phone number is (206) 522-3131.

is licensed to practice in Washington (license number 3601TX). The clinic also participates in the medicare program and its NPI number is 1184905945. 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 (206) 522-3131.

Contact Information


	400 Ne 45th St Suite 011 Seattle WA 98105-6157
	(206) 522-3131
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	400 Ne 45th St, Seattle, Washington
Authorized Official Name and Position	Susan Roh (OWNER)
Authorized Official Contact	2065223131
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
400 Ne 45th St Suite 011 Seattle WA 98105-6157 Ph: (206) 522-3131	400 Ne 45th St Suite 011 Seattle WA 98105-6157 Ph: (206) 522-3131

NPI Details:

NPI Number	1184905945
Provider Enumeration Date	09/07/2011
Last Update Date	12/11/2013

Medicare PECOS Information:

Medicare PECOS PAC ID	2668645623
Medicare Enrollment ID	O20111108000168

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184905945	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	3601TX (Washington)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Susan H Roh
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1194860452 PECOS PAC ID: 6901079961 Enrollment ID: I20111108000245

Reviews and Comments

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- Medicare Primary Care in Seattle, WA