Option 1 Northwest Enteral Llc
Parenteral & Enteral Nutrition
8633 South 212th Street, Kent
Washington, 98031
888-885-2386 888-599-3448
Option 1 Northwest Enteral Llc is a Parenteral & Enteral Nutrition in Kent, Washington. It is located at 8633 South 212th Street, Kent and it's customer support contact number is 888-885-2386. The authorized person of Option 1 Northwest Enteral Llc is Matthew Buckhalter who is Cfo of this DME and his contact number is 470-464-8000. Option 1 Northwest Enteral Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Option 1 Northwest Enteral Llc is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Option 1 Northwest Enteral Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Option 1 Northwest Enteral Llc |
| Type: | Parenteral & Enteral Nutrition |
| Location: | 8633 South 212th Street, Kent,
Washington, 98031 |
| Phone: | 888-885-2386 |
| Fax: | 888-599-3448 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Matthew Buckhalter |
| Position: | Cfo |
| Contact Number: | 470-464-8000 |
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 of given supplier are as mentioned below.
| NPI Number: | 1043398407 |
| NPI Enumeration Date: | 02 Nov, 2006 |
| NPI Last Update On: | 27 Jan, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Option 1 Northwest Enteral Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Parenteral & Enteral Nutrition | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 9058462 | Medicaid | Washington | |
| 9058470-02 | Medicaid | Washington | |
Medicare Enrollment:
Option 1 Northwest Enteral Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7012111537 | O20100930042242 | Option 1 Northwest Enteral Llc | DME SUPPLIER - MEDICAL SUPPLY COMPANY |
Products Available:
Option 1 Northwest Enteral Llc has following products available for sale under medicare.
| Products: |
|---|
| • Enteral Equipment And/or Supplies | • Enteral Nutrients |
| • Nebulizer Equipment & Supplies | • Ostomy Supplies |
| • Surgical Dressings | • Tracheostomy Supplies |
| • Urological Supplies | • Enteral Nutrients, Equipment And Supplies |
Medicare Competitive Bidding Program:
Option 1 Northwest Enteral Llc participates in medicare competitive bidding program for DME suppliers which means Option 1 Northwest Enteral Llc has been thoroughly screened by medicare to make sure they meet medicare DME supplier requirements such as quality, accreditation standards etc.
| CBSA ID: |
CBSA Name: | State |
| 14130 | Dallas-Fort Worth-Arlington, TX | Texas |
| 23480 | Portland-Hillsboro-Beaverton, OR | Oregon |
| 23550 | Seattle-Tacoma-Bellevue, WA | Washington |
| 23625 | Vancouver, WA | Washington |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 400 Interstate North Pkwy Se Ste 1600,
Atlanta, Georgia |
| Zip: | 30339-5047 |
| Phone Number: | 470-464-8000 |
| Fax Number: | 770-248-8192 |
Patients can reach Option 1 Northwest Enteral Llc at
8633 South 212th Street, Kent, Washington or can
call on customer care at 888-885-2386.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.