Swinomish Indian Tribal Community

PAC ID

3678477288The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part B Supplier - Clinic/Group Practice

Enrolled in

WA

Enrollments

1

Group size

3 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

1In 1 place

Enrollment records 1

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

• Swinomish Indian Tribal Community

  • Clinic/Center
  • La Conner, WA
  • NPI 1164483285
• Swinomish Indian Tribal Community

  • Primary Care Clinic/Center
  • La Conner, WA
  • NPI 1376734111

Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (3).

• Monica Carrillo, MD

  • Family Medicine Physician
  • Bellingham, WA
  • NPI 1134271364
• Justin Iwasaki, MD

  • Family Medicine Physician
  • La Conner, WA
  • NPI 1467745117
• Frank Eugene James, MD

  • Family Medicine Physician
  • Bellingham, WA
  • NPI 1730248550
• David Michael Johnson, PA-C

  • Physician Assistant
  • La Conner, WA
  • NPI 1316490337
• Danial Khan

  • Adult Health Nurse Practitioner
  • Bellingham, WA
  • NPI 1366845257

• 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.