Dr Thomas Mckellar Mccloy, MD | |
214 Glover St. North, Twisp, WA 98856 | |
(509) 337-5005 | |
(509) 246-0690 |
Full Name | Dr Thomas Mckellar Mccloy |
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Gender | Male |
Speciality | Family Medicine |
Location | 214 Glover St. North, Twisp, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366704710 | NPI | - | NPPES |
1992403729 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD60481744 (Washington) | Primary |
Entity Name | Kaiser Foundation Health Plan Of Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
Entity Name | Providence Health & Services Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
Mailing Address | Practice Location Address |
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Dr Thomas Mckellar Mccloy, MD Po Box 918, Twisp, WA 98856-0918 Ph: (509) 201-3563 | Dr Thomas Mckellar Mccloy, MD 214 Glover St. North, Twisp, WA 98856 Ph: (509) 337-5005 |
Allison Fitzgerald, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 541 W. Second Avenue, Twisp, WA 98856 Phone: 509-422-5700 Fax: 509-422-7680 | |
Joseph Lehigh Jensen Iii, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 541 Second Ave, Twisp, WA 98856 Phone: 509-997-2011 Fax: 509-997-2034 |