1417 NW 54TH ST STE 334
SEATTLE, WA 98107-3571 US PECOS Enrolled
Overview
Rebecca M. Fishaut is a Clinical Social Worker in the SEATTLE area and has over 22 years of experience. Rebecca M. Fishaut primary office location is at 1417 NW 54TH ST STE 334 and new patients are welcome to contact this healthcare provider for an appointment. We do not know where she was educated but we know that she graduated in 2002 The NPI number is 1174815922 and the information was updated approximately 2 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| LW60205276 | WA |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 2074080 | WA |
| Taxonomy | State | Primary? |
|---|---|---|
| Clinical Social Worker - Taxonomy Code 1041C0700X | WA | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20110810000356 |
| PECOS Individual PAC ID: | 1951570837 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | - |
| Eligible to order/refer Power Mobility Devices (PMD) | - |
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