Dr Lisa L Doherty, MD | |
1615 Delaware St, Longview, WA 98632-2367 | |
(360) 414-2385 | |
(360) 414-2386 |
Full Name | Dr Lisa L Doherty |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 20 Years |
Location | 1615 Delaware St, Longview, 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 |
---|---|---|---|
1871791236 | NPI | - | NPPES |
500618521 | Medicaid | OR | |
2006642 | Medicaid | WA | |
0261154 | Other | WA | LABOR & INDUSTRIES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD60132321 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Peacehealth St John Medical Center | Longview, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Peacehealth | 5890689293 | 180 |
Entity Name | Peacehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272 |
Mailing Address | Practice Location Address |
---|---|
Dr Lisa L Doherty, MD Po Box 3002, Longview, WA 98632-0302 Ph: (360) 414-2048 | Dr Lisa L Doherty, MD 1615 Delaware St, Longview, WA 98632-2367 Ph: (360) 414-2385 |
Mr. Albert Hung-pei Luh, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 360-575-4801 | |
Michael Adam Krall, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 360-575-4801 | |
Dr. Joseph Leslie Davis, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2807 36th Ave, Longview, WA 98632 Phone: 360-425-8365 | |
Muhammad Riaz, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-7800 Fax: 360-414-7808 | |
Dr. Morgan Daneel Evans, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1718 E Kessler Blvd, Longview, WA 98632 Phone: 360-747-5800 Fax: 360-575-3846 | |
Mu-hsiang Joy Wang, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1718 E Kessler Blvd, Longview, WA 98632 Phone: 360-747-5800 Fax: 360-575-3846 | |
Peter W Dicristina, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 360-636-2400 |