Crystal-rose Bridgett Cuellar

M.D. | Pediatric Adolescent Medicine | Female

---

Complete Profile:

Crystal-rose Bridgett Cuellar basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Adolescent Medicine
Provider Name :	Crystal-rose Bridgett Cuellar
Credential :	M.D.
Gender :	Female

Business Address:

Crystal-rose Bridgett Cuellar address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	4540 Sand Point Way Ne Ste 200 Seattle, WA, 98105-3941 United States
Phone Number :	206-987-2028

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1497140057
NPI Entity Type :	Individual
First Enrolment Date :	31 Mar, 2015
Last Updated On :	30 Jun, 2021

Medicare Participation:

Crystal-rose Bridgett Cuellar participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3072876143
Medicare Enrollment ID :	I20210709000407
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2015
Accepts Medicare?	Yes. Crystal-rose Bridgett Cuellar accepts medicare insurance.

Group Practice Association:

Crystal-rose Bridgett Cuellar is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Crystal-rose Bridgett Cuellar is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
The Association Of Chrmc And University Physicians	9133032964	209	4800 Sand Point Way Ne Seattle, WA - 981053901 Ph: 2065262000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Crystal-rose Bridgett Cuellar are as mentioned. Primary taxonomy code for Crystal-rose Bridgett Cuellar, M.D. is 2080A0000X (Pediatrics Adolescent Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
2080A0000X	Pediatrics Adolescent Medicine	Yes	MD60841041	WA
390200000X	Student in an Organized Health Care Education/Training Program	No

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	4540 Sand Point Way Ne Ste 200 Seattle, WA, 98105-3941 United States
Phone Number :	206-987-2028

Business Location:

Patients can refer following map for directions to Crystal-rose Bridgett Cuellar practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.