| Dr Bruce Louis Bobek, DO | |
|
1615 Delaware St, Longview, WA 98632-2367 | |
| (360) 501-3601 | |
| (360) 501-3648 |
| Full Name | Dr Bruce Louis Bobek |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| 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 |
|---|---|---|---|
| 1225028343 | NPI | - | NPPES |
| 009204 | Medicaid | OR | |
| 226945 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OP60928203 (Washington) | Secondary |
| 207R00000X | Internal Medicine | DO16469 (Oregon) | Primary |
| Entity Name | Good Shepherd Health Care System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295789667 PECOS PAC ID: 9133033764 Enrollment ID: O20031118000046 |
| Entity Name | Northwest Medical Foundation Of Tillamook |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871575225 PECOS PAC ID: 5092619569 Enrollment ID: O20031208000676 |
| Entity Name | Mid-columbia Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053409599 PECOS PAC ID: 3779487251 Enrollment ID: O20031209000244 |
| Entity Name | Bay Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538174958 PECOS PAC ID: 9638164874 Enrollment ID: O20040417000310 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bruce Louis Bobek, DO 1750 Thompson Rd, Coos Bay, OR 97420-2100 Ph: (503) 325-5411 | Dr Bruce Louis Bobek, DO 1615 Delaware St, Longview, WA 98632-2367 Ph: (360) 501-3601 |
Alexander Shar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-7878 Fax: 360-414-7876 | |
Hugo Daniel Gonzalez, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 800-813-2000 | |
Mr. Anawin Sanguankeo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 Fax: 360-414-2739 | |
Lyudmila E Kruzhkov, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3601 | |
Dr. Sahar Taqui, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 | |
James J Nakashima, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2700 Fax: 360-414-2714 | |
Gaurav Gandhi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3601 Fax: 360-414-5768 |