REBEKAH GORMAN PA
NPI 1639721715
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since July 10, 2019PECOS EnrolledAccepts Medicare Assignment
4311 11TH AVE NE STE 200, SEATTLE, WA 98105(206) 616-4001(206) 616-3889 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Rebekah Gorman Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBEKAH GORMAN PA (NPI 1639721715) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1639721715
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameREBEKAH GORMANCredential: PA
Location Address4311 11TH AVE NE STE 200Seattle, WA 98105-6367
Mailing Address4311 11th Ave Ne Ste 200Seattle, WA 98105-6367
Fax(206) 616-3889
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 10, 2019
Last NPPES UpdateAugust 31, 2021
NPPES CertifiedAugust 31, 2021
NPI 1639721715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4311 11TH AVE NE STE 200, Seattle, WA 98105

Secondary Practice Location 1

Location 14311 11th Ave NE Ste 200Seattle, WA 98105-6367 · Phone (206) 616-4001 · Fax (206) 616-3889

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Rebekah Gorman Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850780792
PECOS Enrollment IDI20211115000599
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Student in an Organized Health Care Education/Training Program
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Physician Assistant (Medical)
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Student in an Organized Health Care Education/Training Program
4311 11TH AVE NE STE 200
SEATTLE, WA 98105
Physician Assistant
4311 11TH AVE NE STE 200
SEATTLE, WA 98105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639721715, enumerated as an "individual" on July 10, 2019.

The provider is located at 4311 11TH AVE NE STE 200 SEATTLE, WA 98105 and the phone number is (206) 616-4001.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.

Rebekah Gorman is affiliated with: WELLMONT HOLSTON VALLEY MEDICAL CENTER.