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Charlotte Sophia Mclean

Hospitalist

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as CHARLOTTE MCLEAN.

Based on the most recent information from CMS, provider Charlotte Sophia Mclean is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:59 AM.

Profile Details

Provider ID
1699236133
Provider Type
Individual
Full Name
Mclean, Charlotte Sophia
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
3/27/2019
Last Updated
8/28/2024

Contact Information

Practice Location

325 9th Ave, Seattle, WA 98104-2420

(206) 520-5000

Unlisted Fax

Mailing Location

PO Box 50095, Seattle, WA 98145-5095

(206) 520-5700

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208M00000X Primary	Description Hospitalist Allopathic & Osteopathic Physicians	License MD61522450 Washington
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD61522450 Washington

Charlotte Sophia Mclean

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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Stepczynski, Anna H