Mary Michelle Mcclelland, MD | |
1230 7th Ave, Longview, WA 98632-3166 | |
(360) 636-2400 | |
Not Available |
Full Name | Mary Michelle Mcclelland |
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Gender | Female |
Speciality | Family Medicine |
Location | 1230 7th Ave, Longview, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952721466 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD60762491 (Washington) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099 |
Mailing Address | Practice Location Address |
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Mary Michelle Mcclelland, MD 138 Monticello Dr, Longview, WA 98632-9522 Ph: (469) 585-4458 | Mary Michelle Mcclelland, MD 1230 7th Ave, Longview, WA 98632-3166 Ph: (360) 636-2400 |
Mr. Albert Hung-pei Luh, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 360-575-4801 | |
Michael Adam Krall, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 360-575-4801 | |
Dr. Joseph Leslie Davis, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2807 36th Ave, Longview, WA 98632 Phone: 360-425-8365 | |
Muhammad Riaz, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-7800 Fax: 360-414-7808 | |
Dr. Morgan Daneel Evans, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1718 E Kessler Blvd, Longview, WA 98632 Phone: 360-747-5800 Fax: 360-575-3846 | |
Mu-hsiang Joy Wang, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1718 E Kessler Blvd, Longview, WA 98632 Phone: 360-747-5800 Fax: 360-575-3846 | |
Peter W Dicristina, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 360-636-2400 |