Dr Jong-wook Ban, MD | |
1010 S Scheuber Rd Ste 3&4, Centralia, WA 98531-8892 | |
(360) 827-7966 | |
(360) 827-7977 |
Full Name | Dr Jong-wook Ban |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 27 Years |
Location | 1010 S Scheuber Rd Ste 3&4, Centralia, 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 |
---|---|---|---|
1265467930 | NPI | - | NPPES |
8417925 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD00044103 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Assured Home Health And Hospice | Centralia, WA | Home health agency |
Providence Sound Homecare & Hospice | Lacey, WA | Home health agency |
Assured Home Health, Hospice & Home Care | Centralia, WA | Hospice |
Providence Centralia Hospital | Centralia, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Washington | 6709782600 | 393 |
Entity Name | Providence Health & Services Washington |
---|---|
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 Jong-wook Ban, MD Po Box 3360, Portland, OR 97208-3360 Ph: () - | Dr Jong-wook Ban, MD 1010 S Scheuber Rd Ste 3&4, Centralia, WA 98531-8892 Ph: (360) 827-7966 |
Dr. Richard Scott Elloway, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 S. Scheuber Road, Suite G, Centralia, WA 98531 Phone: 360-330-8808 Fax: 360-330-8816 | |
David Fick, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 914 S Scheuber Rd, Centralia, WA 98531 Phone: 360-736-2803 | |
Eric S Swanson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 914 S Scheuber Rd, Centralia, WA 98531 Phone: 360-827-8811 | |
Dr. Romil Wadhawan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 S Scheuber Rd, Suite 3&4, Centralia, WA 98531 Phone: 360-807-7966 Fax: 360-807-7977 | |
Dr. Floyd D Smith, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1611 Kresky Ave, Suite 112, Centralia, WA 98531 Phone: 360-330-2023 Fax: 360-623-1585 | |
Katie Elizabeth Kunnen, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 914 S Scheuber Rd, Centralia, WA 98531 Phone: 360-827-8811 Fax: 360-330-8969 |