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Lake Wilderness Medical Clinic Llc

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NPI Number Detailed Information

Provider Information:

Name: Lake Wilderness Medical Clinic Llc
Gender:
Provider License Number If Given: MD00023662

NPI Information:

NPI: 1982879045
Entity Type
(Individual or Organization):
2-org
Enumeration Date: 4/29/2008

Last Update Date: 4/29/2008

Provider Business Mailing Address:

Address: PO BOX 1142
Ravensdale, WA 98051
Phone Number: 4254329611
Fax Number: 2069735399

Provider Business Practice Location Address:

Address: 26907 MAPLE VALLEY BLACK DIAMOND RD SE
Maple Valley, WA 98038
Phone Number: 4254329611
Fax Number: 2069735399

Provider Taxonomy:

Primary: 302F00000X
Secondary (if any):
State: WA

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About Lake Wilderness Medical Clinic Llc

Lake Wilderness Medical Clinic Llc ( LAKE WILDERNESS MEDICAL CLINIC LLC ) is (1) Exclusive Provider Organization Provider in Maple Valley, WA. The NPI Number for Lake Wilderness Medical Clinic Llc is 1982879045.
The current location address for Lake Wilderness Medical Clinic Llc is 26907 MAPLE VALLEY BLACK DIAMOND RD SE Maple Valley, WA 98038 and the contact number is 4254329611 and fax number is 2069735399. The mailing address for Lake Wilderness Medical Clinic Llc is PO BOX 1142 Ravensdale, WA 98051- 4254329611 (mailing address contact number - 4254329611).
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

Provider Business Location on Map

FAQs:

What is the NPI Number for Lake Wilderness Medical Clinic Llc ?


Answer: The NPI Number for Lake Wilderness Medical Clinic Llc is 1982879045

Where is Lake Wilderness Medical Clinic Llc located?


Answer: Lake Wilderness Medical Clinic Llc is located at 26907 MAPLE VALLEY BLACK DIAMOND RD SE Maple Valley, WA 98038.

What is the specialty for Lake Wilderness Medical Clinic Llc ?


Answer: The Specialty of Lake Wilderness Medical Clinic Llc is (1) Exclusive Provider Organization Provider.

Are there any online reviews for Lake Wilderness Medical Clinic Llc ?


Answer: Not yet!

Are there any other health care providers in Maple Valley, WA?


Answer: Yes, there are given below...

More Providers in Maple Valley , WA

Dr. John B Ludu
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NPI Number: 1023000163
Address: 23866 SE KENT KANGLEY RD Maple Valley, WA 98038 , Phone: 4254138505
Dr. Rhenu Sharma
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NPI Number: 1598757486
Address: 23866 SE KENT KANGLEY RD Maple Valley, WA 98038 , Phone: 4254138505
Ludu Sharma Pllc
Dentist
NPI Number: 1477548337
Address: 23866 SE KENT KANGLEY RD Maple Valley, WA 98038 , Phone: 4254138505
Rebecca Brown Rush-Peet
Family Medicine Physician
NPI Number: 1336135326
Address: 24080 SE KENT KANGLEY RD Maple Valley, WA 98038 , Phone: 2533727680
Jennifer A Castelluccio
Physician Assistant
NPI Number: 1679561435
Address: 26458 MAPLE VALLEY BLACK DIAMOND RD SE Maple Valley, WA 98038 , Phone: 4256565577
Dr. Matthew Raymond Gee
Dermatology Physician
NPI Number: 1306835764
Address: 23745 225TH WAY SE STE 205A Maple Valley, WA 98038 , Phone: 4252015117
Wayne M Engstrom
Pharmacist
NPI Number: 1588647267
Address: 22117 SE 237TH ST Maple Valley, WA 98038 , Phone: 4254321234
Dr. Rodney Tyson Riedel
Family Medicine Physician
NPI Number: 1366426405
Address: 26458 MAPLE VALLEY BLACK DIAMOND RD SE Maple Valley, WA 98038 , Phone: 4256565577
Mrs. Rachel Ann Brown
Pharmacy Technician
NPI Number: 1871578401
Address: 22117 SE 237TH ST Maple Valley, WA 98038 , Phone: 4254321234
Mr. Kenneth L Jasman
Pharmacist
NPI Number: 1407831035
Address: 22117 SE 237TH ST Maple Valley, WA 98038 , Phone: 4254321234

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