Dr Erin Joy Longley, MD | |
10510 Gravelly Lake Drive, Lakewood, WA 98499 | |
(253) 589-7030 | |
(253) 589-7033 |
Full Name | Dr Erin Joy Longley |
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Gender | Female |
Speciality | Family Medicine |
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 |
---|---|---|---|
1295727881 | NPI | - | NPPES |
8445652 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A76567 (California) | Secondary |
207Q00000X | Family Medicine | MD00044402 (Washington) | Primary |
Entity Name | Providence Health & Services Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
Entity Name | Healthpoint |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831199454 PECOS PAC ID: 9335042886 Enrollment ID: O20040206000245 |
Mailing Address | Practice Location Address |
---|---|
Dr Erin Joy Longley, MD 1019 Pacific Ave, Ste. 300, Tacoma, WA 98402-4443 Ph: (253) 722-1540 | Dr Erin Joy Longley, MD 10510 Gravelly Lake Drive, Lakewood, WA 98499 Ph: (253) 589-7030 |
Kristy A Walton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5700 100th St Sw Ste 510, Lakewood Clinic, Lakewood, WA 98499 Phone: 253-459-6060 Fax: 253-459-6064 | |
Dr. Yilei Gu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11307 Bridgeport Way Sw Ste 200, Lakewood, WA 98499 Phone: 253-985-6688 Fax: 253-922-5299 | |
Constance Blair Campbell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10510 Gravelly Lake Dr Sw, Lakewood, WA 98499 Phone: 253-589-7030 Fax: 253-589-7033 | |
Frida Rineth Pena Benitez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10510 Gravelly Lake Dr Sw, Lakewood, WA 98499 Phone: 253-589-7030 Fax: 253-589-7033 | |
Dr. Lynn Fioretti, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 10510 Gravelly Lake Drive, Lakewood, WA 98499 Phone: 253-589-7030 Fax: 253-589-7033 | |
Scott Anthony Trapman, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8511 S Tacoma Way # 200, Lakewood, WA 98499 Phone: 253-588-4015 Fax: 253-588-4035 | |
John Richard Coe, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4901 108th St Sw, Lakewood, WA 98499 Phone: 253-589-6484 Fax: 253-984-1079 |