Look up the most recent NPI and PECOS records

Jaclyn Lemon

Internal Medicine

Allopathic & Osteopathic Physicians

(425) 261-2000 (425) 258-3900

PECOS Enrollment

Based on the most recent information from CMS, provider Jaclyn Lemon is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1144754698
Provider Type
Individual
Full Name
Lemon, Jaclyn
Gender
Female

Sole Proprietor
No
Enumeration Date
4/11/2017
Last Updated
8/31/2021

Contact Information

Practice Location

1321 Colby Ave, Everett, WA 98201-1665

(425) 261-2000

Unlisted Fax

Mailing Location

PO Box 5127, Everett, WA 98206-5127

(425) 258-3900

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD61058157 Washington
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License MD61058157 Washington

Jaclyn Lemon

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Roberts, Lloyd Andrew

Adams, Paul Anthony

Bhatia, Tanya

Nysoe, Tara E

Schweitzer, Shawn Robert

Katz, Alexander

Wander, Pandora Lucrezia 'Luke'

Aslam, Sidra

Chiou, Lisa A

Hunt, Peter Nicholas