| Cynthia Lee Brooke, MD | |
|
10510 Gravelly Lake Drive, Community Health Care, Lakewood, WA 98499 | |
| (253) 471-4553 | |
| (253) 474-5395 |
| Full Name | Cynthia Lee Brooke |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 10510 Gravelly Lake Drive, Lakewood, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033192984 | NPI | - | NPPES |
| 023287 | Medicaid | OR | |
| 807312600 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MD26206 (Oregon) | Secondary |
| 207V00000X | Obstetrics & Gynecology | MD00027007 (Washington) | Primary |
| Entity Name | Magella Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376640086 PECOS PAC ID: 7214827591 Enrollment ID: O20040318001666 |
| Entity Name | Obhg California Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215258892 PECOS PAC ID: 8729276795 Enrollment ID: O20101217000826 |
| Entity Name | Obstetrix Medical Group Of Sacramento Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144593310 PECOS PAC ID: 3577726074 Enrollment ID: O20120521000283 |
| Mailing Address | Practice Location Address |
|---|---|
| Cynthia Lee Brooke, MD 1019 Pacific Avenue, Community Health Care, Tacoma, WA 98402 Ph: (253) 722-1540 | Cynthia Lee Brooke, MD 10510 Gravelly Lake Drive, Community Health Care, Lakewood, WA 98499 Ph: (253) 471-4553 |
Dr. David John Magelssen, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4 Lakeside Country Clb Sw, Lakewood, WA 98498 Phone: 253-968-1161 | |
Murray Stromberg, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 9332 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-459-6065 | |
Lyle T. Calcamuggio, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 11311 Bridgeport Way Sw, Ste 302, Lakewood, WA 98499 Phone: 253-985-2920 Fax: 253-985-6812 | |
George B Mcclure, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 11410 Madera Cir Sw, Lakewood, WA 98499 Phone: 253-820-7212 | |
Dr. Gayle Matthews, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10510 Gravelly Lake Dr Sw, Lakewood, WA 98499 Phone: 253-597-4550 |