Dr Peter Kung, MD | |
625 9th Ave Ste 210, Longview, WA 98632-2465 | |
(360) 501-3400 | |
(360) 423-6862 |
Full Name | Dr Peter Kung |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 21 Years |
Location | 625 9th Ave Ste 210, Longview, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225169279 | NPI | - | NPPES |
500608782 | Other | OR | MEDICAID |
8546244 | Medicaid | WA | |
0249916 | Other | WA | DEPT OF LABOR & INDUSTRIES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | A91539 (California) | Secondary |
207X00000X | Orthopaedic Surgery | MD60091872 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Peacehealth St John Medical Center | Longview, WA | Hospital |
Ocean Beach Hospital | Ilwaco, WA | Hospital |
Columbia Memorial Hospital | Astoria, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Longview Orthopedic Associates Pllc | 7315976792 | 9 |
Entity Name | Longview Orthopedic Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003865072 PECOS PAC ID: 7315976792 Enrollment ID: O20050805000452 |
Mailing Address | Practice Location Address |
---|---|
Dr Peter Kung, MD 625 9th Ave Ste 210, Longview, WA 98632-2465 Ph: (360) 501-3400 | Dr Peter Kung, MD 625 9th Ave Ste 210, Longview, WA 98632-2465 Ph: (360) 501-3400 |
Dr. Tony C Lin, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave, Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-5682 | |
William Taylor Turner, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave, Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-6862 | |
David Michael Black, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 625 9th Ave, Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-6862 | |
Anthony J Lauder, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-6862 | |
Jon Edward Kretzler, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave, Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-6862 | |
Bruce Gragg Blackstone, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 625 9th Ave, Suite 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-6862 |