| Dr Lucas Camden Smith, MD | |
|
17191 Bothell Way Ne, Suite 205, Lake Forest Park, WA 98155-4250 | |
| (206) 364-8272 | |
| (206) 364-5418 |
| Full Name | Dr Lucas Camden Smith |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 17191 Bothell Way Ne, Lake Forest Park, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639490063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MT197106 (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | MD60366138 (Washington) | Primary |
| Entity Name | Pacmed Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013061217 PECOS PAC ID: 2466350657 Enrollment ID: O20031226000033 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lucas Camden Smith, MD 17191 Bothell Way Ne, Suite 205, Lake Forest Park, WA 98155-4250 Ph: (206) 364-8272 | Dr Lucas Camden Smith, MD 17191 Bothell Way Ne, Suite 205, Lake Forest Park, WA 98155-4250 Ph: (206) 364-8272 |
Dr. Ingrid Elise Van Swearingen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17191 Bothell Way Ne Ste 205, Lake Forest Park, WA 98155 Phone: 206-520-5000 | |
Leslie S Newton, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 17191 Bothell Way Ne, Ste 205, Lake Forest Park, WA 98155 Phone: 206-364-8272 | |
Robyn Phillips-madson, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 17191 Bothell Way Ne, Ste 205, Lake Forest Park, WA 98155 Phone: 206-364-8272 | |
Amoy A Ng, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 17191 Bothell Way Ne, Suite 205, Lake Forest Park, WA 98155 Phone: 206-364-8272 | |
Susan Lee Jones-kubeska, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 17191 Bothell Way Ne, Suite 205, Lake Forest Park, WA 98155 Phone: 206-364-8272 Fax: 206-364-5418 | |
Mohinder Singh Cheema, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4740 Ne 203rd St, Lake Forest Park, WA 98155 Phone: 206-919-7745 |