Radiant Path Psychiatry Pllc - Medicare Mental Health Clinic in Wenatchee, WA

Radiant Path Psychiatry Pllc is a medicare enrolled mental health clinic (Psychiatry & Neurology - Psychiatry) in Wenatchee, Washington. The current practice location for Radiant Path Psychiatry Pllc is 330 King St Ste 5, Wenatchee, Washington. For appointments, you can reach them via phone at (509) 797-7493. The mailing address for Radiant Path Psychiatry Pllc is 330 King St Ste 5, Wenatchee, Washington and phone number is () -.

Radiant Path Psychiatry Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1225666951. 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 (509) 797-7493.

Contact Information

Radiant Path Psychiatry Pllc
330 King St Ste 5
Wenatchee
WA 98801-2857
(509) 797-7493
(833) 913-2345

Mental Health Clinic Profile

Full NameRadiant Path Psychiatry Pllc
SpecialityPsychiatry & Neurology
Location330 King St Ste 5, Wenatchee, Washington
Authorized Official Name and PositionRaul Alexander Padilla (CEO)
Authorized Official Contact5097977493
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Radiant Path Psychiatry Pllc
330 King St Ste 5
Wenatchee
WA 98801-2857

Ph: () -
Radiant Path Psychiatry Pllc
330 King St Ste 5
Wenatchee
WA 98801-2857

Ph: (509) 797-7493

NPI Details:

NPI Number1225666951
Provider Enumeration Date03/30/2020
Last Update Date08/10/2023
Certification Date08/10/2023

Medicare PECOS Information:

Medicare PECOS PAC ID7911324967
Medicare Enrollment IDO20200904001325

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Medical Identifiers

Medical identifiers for Radiant Path Psychiatry Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225666951NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084A0401XPsychiatry & Neurology - Addiction Medicine (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (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. Radiant Path Psychiatry Pllc acts as a billing entity for following providers:
Provider NameRaul A Padilla
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932481124
PECOS PAC ID: 6608043518
Enrollment ID: I20150713001926

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