Lonnie L Smucker, MD | |
2647 Ne 33rd Ave, Portland, OR 97212-3647 | |
(503) 288-0083 | |
(503) 288-7843 |
Full Name | Lonnie L Smucker |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 33 Years |
Location | 2647 Ne 33rd Ave, Portland, Oregon |
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 |
---|---|---|---|
1548293087 | NPI | - | NPPES |
80058369 | Other | OR | RR MEDICARE |
048194016 | Other | OR | BLUE CROSS |
066469 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD17893 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Portland Medical Center | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oregon Healthcare Resources Llc | 4486835477 | 127 |
Entity Name | Optumcare Portland Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710003140 PECOS PAC ID: 8820986441 Enrollment ID: O20040305000933 |
Entity Name | Family Medical Group Northeast, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831385673 PECOS PAC ID: 2365430709 Enrollment ID: O20040504000835 |
Entity Name | Oregon Healthcare Resources Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982907572 PECOS PAC ID: 4486835477 Enrollment ID: O20110223001220 |
Mailing Address | Practice Location Address |
---|---|
Lonnie L Smucker, MD 2647 Ne 33rd Ave, Portland, OR 97212-3647 Ph: (503) 288-0083 | Lonnie L Smucker, MD 2647 Ne 33rd Ave, Portland, OR 97212-3647 Ph: (503) 288-0083 |
Brian Michael Lindeman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5005 Ne Sandy Blvd, Portland, OR 97213 Phone: 503-233-6940 | |
Dr. Robert Brian Bettencourt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11782 Sw Barnes Rd Ste 300, Portland, OR 97225 Phone: 503-214-5200 Fax: 503-906-6613 | |
Katy L Bochat, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5050 Ne Hoyt St Ste 454, Portland, OR 97213 Phone: 503-215-6405 | |
Jonathan L Vinson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 839 Ne Holladay St, Portland, OR 97232 Phone: 503-203-0700 | |
Dr. Timothy P Janzen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10803 Se Cherry Blossom Dr, Portland, OR 97216 Phone: 503-261-7200 Fax: 503-261-7249 | |
Alison Mitchell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5050 Ne Hoyt St, Suite 240, Portland, OR 97213 Phone: 503-215-6480 | |
Dr. Steven Colin Jackson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 426 Sw Stark St, 8th Floor, Portland, OR 97204 Phone: 503-988-3674 Fax: 503-988-5779 |