Lynda Brady Stafford, DO | |
319 E Pioneer Ave, Montesano, WA 98563-4601 | |
(360) 249-3300 | |
Not Available |
Full Name | Lynda Brady Stafford |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 22 Years |
Location | 319 E Pioneer Ave, Montesano, 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 |
---|---|---|---|
1629021852 | NPI | - | NPPES |
8449522 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OP00002036 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Sound Homecare & Hospice | Lacey, WA | Home health agency |
Assured Home Health And Hospice | Centralia, WA | Home health agency |
Providence Soundhomecare And Hospice | Olympia, WA | Hospice |
Providence St Peter Hospital | Olympia, WA | Hospital |
Providence Centralia Hospital | Centralia, WA | Hospital |
Capital Medical Center | Olympia, WA | Hospital |
Grays Harbor Community Hospital | Aberdeen, WA | Hospital |
Panorama City Conv & Rehab Ctr | Lacey, WA | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Washington | 6709782600 | 387 |
Entity Name | Providence Health & Services Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
Entity Name | Grays Harbor Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154378859 PECOS PAC ID: 3577462365 Enrollment ID: O20031231000081 |
Mailing Address | Practice Location Address |
---|---|
Lynda Brady Stafford, DO 4001 Harrison Ave Nw, Ste 101, Olympia, WA 98502-5084 Ph: (360) 704-2362 | Lynda Brady Stafford, DO 319 E Pioneer Ave, Montesano, WA 98563-4601 Ph: (360) 249-3300 |