Kelly A Phillips, DO | |
11315 Bridgeport Way Sw, Emergency Dept, Lakewood, WA 98499-3004 | |
(253) 985-8700 | |
Not Available |
Full Name | Kelly A Phillips |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 16 Years |
Location | 11315 Bridgeport Way Sw, Lakewood, 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 |
---|---|---|---|
1003047796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 4759 (Oklahoma) | Secondary |
207P00000X | Emergency Medicine | OP60477228 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Texas Health Harris Methodist Hospital Fort Worth | Fort worth, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Texas Medicine Resources, Llp | 5890688212 | 222 |
Entity Name | Integrative Emergency Services Physician Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285922542 PECOS PAC ID: 0749447936 Enrollment ID: O20120130000932 |
Entity Name | Texas Medicine Resources, Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376581900 PECOS PAC ID: 5890688212 Enrollment ID: O20130702000785 |
Mailing Address | Practice Location Address |
---|---|
Kelly A Phillips, DO 11315 Bridgeport Way Sw, Emergency Dept, Lakewood, WA 98499-3004 Ph: (253) 985-8700 | Kelly A Phillips, DO 11315 Bridgeport Way Sw, Emergency Dept, Lakewood, WA 98499-3004 Ph: (253) 985-8700 |
Mrs. Tiffany C Crabb, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7308 Bridgeport Way W, Suite 201, Lakewood, WA 98499 Phone: 253-582-7257 Fax: 253-582-1617 | |
Matthew M Rice, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-588-1711 Fax: 253-581-6588 | |
James Bae Lee, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-588-1711 Fax: 253-944-7922 | |
Sean Thomas Baxter, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-589-8700 Fax: 253-581-6588 | |
Robert William Jensen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-588-1711 Fax: 253-581-6588 | |
Michael J Larson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-588-1711 Fax: 253-838-6418 |