| Dr Shane Op Brooks, DO | |
|
450 S Kitsap Blvd, #100, Port Orchard, WA 98366-3773 | |
| (360) 744-6275 | |
| (360) 895-6296 |
| Full Name | Dr Shane Op Brooks |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 27 Years |
| Location | 450 S Kitsap Blvd, Port Orchard, Washington |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154364115 | NPI | - | NPPES |
| 2165BR | Other | WA | BSWA |
| 0181442 | Other | WA | LIWA |
| 8326985 | Medicaid | WA | |
| 0171367 | Other | WA | LIWA |
| 1594BR | Other | WA | BSWA |
| BSWA | Other | WA | 2264BR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | OP00001839 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Current Care Of Washington Ps | 8022356617 | 16 |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Entity Name | American Current Care Of Washington, P.s. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073096871 PECOS PAC ID: 8022356617 Enrollment ID: O20190206000846 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shane Op Brooks, DO 450 S Kitsap Blvd, #100, Port Orchard, WA 98366-3773 Ph: (360) 744-6275 | Dr Shane Op Brooks, DO 450 S Kitsap Blvd, #100, Port Orchard, WA 98366-3773 Ph: (360) 744-6275 |
Jeffrey Winslow, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 450 So Kitsap Blvd, Suite 100, Port Orchard, WA 98366 Phone: 360-744-6275 Fax: 360-744-6188 | |
Gerard V Lasalle, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1141 Beach Dr E, Port Orchard, WA 98366 Phone: 360-895-4700 | |
Dr. James W Zacovic, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 450 S Kitsap Blvd Ste 100, Port Orchard, WA 98366 Phone: 360-744-6275 Fax: 360-744-6270 |