Mrs Carolina Kato Smith, MD | |
1615 Delaware St, Longview, WA 98632-2367 | |
(360) 414-2000 | |
(360) 414-7638 |
Full Name | Mrs Carolina Kato Smith |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Location | 1615 Delaware St, 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 |
---|---|---|---|
1396730545 | NPI | - | NPPES |
1054829 | Medicaid | WA | |
104319419 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD00049090 (Washington) | Primary |
Entity Name | Peacehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272 |
Mailing Address | Practice Location Address |
---|---|
Mrs Carolina Kato Smith, MD 1615 Delaware St, Longview, WA 98632-2367 Ph: (360) 414-2000 | Mrs Carolina Kato Smith, MD 1615 Delaware St, Longview, WA 98632-2367 Ph: (360) 414-2000 |
Bradford W Burger, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1516 Delaware St, Anesthesia Dept., Longview, WA 98632 Phone: 360-425-7280 | |
Todd A Phillips, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1615 Delaware St, Anesthesia Dept, Longview, WA 98632 Phone: 360-425-7280 | |
Bonnie Song, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 888-423-7717 | |
Herbert W Fleege, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Anesthesia Dept., Longview, WA 98632 Phone: 360-425-7280 | |
Stephanie L Davis, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 Fax: 360-414-7555 | |
Dr. Brian H Ngo, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-636-4878 Fax: 360-414-7638 | |
Dr. Chester Chi Tak Hu, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Anesthesiology, Longview, WA 98632 Phone: 360-636-4878 Fax: 360-414-7457 |