Dr Eleanor Grace Bly, MD, MPH | |
23320 Highway 99, Edmonds, WA 98026-8744 | |
(425) 640-5500 | |
(425) 640-5520 |
Full Name | Dr Eleanor Grace Bly |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 15 Years |
Location | 23320 Highway 99, Edmonds, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265675508 | NPI | - | NPPES |
MD60233140 | Other | WA | PHYSICIAN AND SURGEON LICENSE |
2020182 | Medicaid | WA | |
G8923057 | Other | WA | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ML60095637 (Washington) | Secondary |
207Q00000X | Family Medicine | MD60233140 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Swedish Edmonds Hospital | Edmonds, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Health Center Of Snohomish County | 0446152003 | 77 |
Entity Name | Community Health Center Of Snohomish County |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730136367 PECOS PAC ID: 0446152003 Enrollment ID: O20040123000395 |
Mailing Address | Practice Location Address |
---|---|
Dr Eleanor Grace Bly, MD, MPH 23320 Highway 99, Edmonds, WA 98026-8744 Ph: (425) 640-5500 | Dr Eleanor Grace Bly, MD, MPH 23320 Highway 99, Edmonds, WA 98026-8744 Ph: (425) 640-5500 |
Clifford John Johnson, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7320 179th St Sw, Edmonds, WA 98026 Phone: 425-743-5160 Fax: 425-743-5160 | |
Joe M Skariah, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21911 76th Ave W, #110, Edmonds, WA 98026 Phone: 425-640-4950 Fax: 425-640-4958 | |
Louis P. Gianutsos, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7315 212th St Sw Ste 101, Edmonds, WA 98026 Phone: 425-775-9474 Fax: 425-670-3554 | |
Steven Koh, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21600 Highway 99 Ste 280, Edmonds, WA 98026 Phone: 360-901-6355 | |
Michelle R Richards, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 23320 Highway 99, Edmonds, WA 98026 Phone: 425-640-5500 | |
Dr. Emmy Nakasu Davison, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21911 76th Ave W, Suite 110, Edmonds, WA 98026 Phone: 425-640-4950 Fax: 425-640-4958 | |
Monica Kimberly Park, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7315 212th St Sw Ste 101, Edmonds, WA 98026 Phone: 425-775-9474 Fax: 425-670-3554 |