| Eric Donald Ottenbacher, PA | |
|
1615 Delaware St, Longview, WA 98632-2310 | |
| (360) 414-2385 | |
| (360) 414-2386 |
| Full Name | Eric Donald Ottenbacher |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 24 Years |
| Location | 1615 Delaware St, Longview, Washington |
| 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 |
|---|---|---|---|
| 1952308967 | NPI | - | NPPES |
| 8330938 | Medicaid | WA | |
| 8929945 | Other | WA | CRIME VICTIMS |
| 149048 | Other | WA | LABOR & IND. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA10004156 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Black Hills Surgical Hospital Llp | 5496742835 | 64 |
| Black Hills Surgical Hospital Llp | 5496742835 | 64 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Donald Ottenbacher, PA Po Box 249, Longview, WA 98632-7154 Ph: (360) 414-2048 | Eric Donald Ottenbacher, PA 1615 Delaware St, Longview, WA 98632-2310 Ph: (360) 414-2385 |
David L Oliver, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1706 Washington Way, Longview, WA 98632 Phone: 360-423-9580 Fax: 360-423-6230 | |
Jesse R Shaffer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3500 Fax: 360-501-3555 | |
Matthew Johnson, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 Fax: 360-414-2739 | |
Nicholas E Austin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1706 Washington Way, Longview, WA 98632 Phone: 360-423-0390 Fax: 360-577-3865 | |
Eric Pascual, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 921 14th Avenue, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-423-5086 | |
Dwight Christian Tan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 | |
Ellie Renae Wells, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 360-636-2400 |