Russell W Faria Do Pc - Medicare Primary Care in Kent, WA

Russell W Faria Do Pc is a medicare enrolled primary clinic (Family Medicine) in Kent, Washington. The current practice location for Russell W Faria Do Pc is 15215 Se 272nd St Ste 103, Kent, Washington. For appointments, you can reach them via phone at (253) 639-1883. The mailing address for Russell W Faria Do Pc is 15215 Se 272nd St Ste 103, Kent, Washington and phone number is (253) 639-1883.

Russell W Faria Do Pc is licensed to practice in Oregon (license number D020354). The clinic also participates in the medicare program and its NPI number is 1457521619. 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) 639-1883.

Contact Information

Russell W Faria Do Pc
15215 Se 272nd St Ste 103
Kent
WA 98042-4215
(253) 639-1883
(253) 639-1891

Primary Care Clinic Profile

Full NameRussell W Faria Do Pc
SpecialityFamily Medicine
Location15215 Se 272nd St Ste 103, Kent, Washington
Authorized Official Name and PositionTrish Bukauskas (BILLING MGR)
Authorized Official Contact8432939966
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Russell W Faria Do Pc
15215 Se 272nd St Ste 103
Kent
WA 98042-4215

Ph: (253) 639-1883
Russell W Faria Do Pc
15215 Se 272nd St Ste 103
Kent
WA 98042-4215

Ph: (253) 639-1883

NPI Details:

NPI Number1457521619
Provider Enumeration Date03/04/2008
Last Update Date03/04/2008

Medicare PECOS Information:

Medicare PECOS PAC ID5496831786
Medicare Enrollment IDO20080327000012

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Medical Identifiers

Medical identifiers for Russell W Faria Do Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457521619NPI-NPPES
150278MedicaidOR
D020354OtherORLICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine D020354 (Oregon)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Russell W Faria Do Pc acts as a billing entity for following providers:
Provider NameRussell W Faria
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114901113
PECOS PAC ID: 0042301798
Enrollment ID: I20070809000289

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