Suquamish Tribal

PAC ID

3173975893The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part B Supplier - Clinic/Group Practice

Enrolled in

TX

Enrollments

1

Group size

5 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

2In 1 place

Enrollment records 1

These NPI records belong to the same enrolled organization. Each has its own page.

• Suquamish Tribal

  dba Suquamish Wellness Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Suquamish, WA
  • NPI 1083747216
• Suquamish Tribal

  dba Suquamish Medical Clinic

  • General Practice Physician
  • Suquamish, WA
  • NPI 1114674942

Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (5).

• Tomas M Axtelle, MA

  • Mental Health Counselor
  • Bremerton, WA
  • NPI 1568505253
• Terry Basolo, MPA, MA

  • Mental Health Counselor
  • Seattle, WA
  • NPI 1336527027
• Brian Graham Burwell, CDPT

  • Addiction (Substance Use Disorder) Counselor
  • Suquamish, WA
  • NPI 1477821171
• Kristine Kelley Ewing, MD

  • General Practice Physician
  • Suquamish, WA
  • NPI 1972589422
• Susannah Margaret Hart Stephens, LICSW, SUDP

  • Mental Health Counselor
  • Suquamish, WA
  • NPI 1639558885
• Casey Kernan, DO

  • General Practice Physician
  • Suquamish, WA
  • NPI 1861982944
• Lisa Pratt, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bremerton, WA
  • NPI 1851733729

• Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
• Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
• NPPES NPI Registry: the names and addresses of the NPIs above.