Jena Marie Lopez, MD | |
1415 E Kincaid Street, Mount Vernon, WA 98274-4126 | |
(360) 424-4111 | |
Not Available |
Full Name | Jena Marie Lopez |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 1415 E Kincaid Street, Mount Vernon, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386607612 | NPI | - | NPPES |
8509226 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD00048855 (Washington) | Primary |
208D00000X | General Practice | MD00048855 (Washington) | Secondary |
Entity Name | Northwest Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235172370 PECOS PAC ID: 3476462334 Enrollment ID: O20041214000892 |
Entity Name | Peacehealth Peace Island Medical Center |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1487917233 PECOS PAC ID: 9335391044 Enrollment ID: O20121204000225 |
Entity Name | Peacehealth Peace Island Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508129842 PECOS PAC ID: 9335391044 Enrollment ID: O20130122000273 |
Mailing Address | Practice Location Address |
---|---|
Jena Marie Lopez, MD 1415 E Kincaid Street, Mount Vernon, WA 98274-4126 Ph: (360) 424-4111 | Jena Marie Lopez, MD 1415 E Kincaid Street, Mount Vernon, WA 98274-4126 Ph: (360) 424-4111 |
Sarah Mcdaniel, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Hospital Pkwy, Mount Vernon, WA 98273 Phone: 360-428-2166 | |
Dr. Michael Matthews Chmel, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1415 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-424-4111 | |
Dr. Michael K Olpin, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1415 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-424-4111 | |
Anne L Saarheim-riggs, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 E. Kincaid Street, Mount Vernon, WA 98274 Phone: 360-428-2500 Fax: 360-428-6485 | |
Dr. Kevin Roy Bowman, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1415 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-424-4111 | |
Dr. Marsha Janette Tomlinson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1415 E. Kincaid Street, Mount Vernon, WA 98274 Phone: 360-424-4111 | |
Dr. Tara L. Montgomery, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 E. Kincaid Street, Mount Vernon, WA 98274 Phone: 360-428-6434 Fax: 360-848-4233 |