| Dr Suwong Wongsuwan, MD | |
|
401 W Poplar St, St Mary Medical Center, Cardiology Suite, Walla Walla, WA 99362-2846 | |
| (509) 897-2600 | |
| (509) 897-5747 |
| Full Name | Dr Suwong Wongsuwan |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 40 Years |
| Location | 401 W Poplar St, Walla Walla, 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 |
|---|---|---|---|
| 1497700975 | NPI | - | NPPES |
| 1011703 | Medicaid | WA | |
| 288534 | Medicaid | OR | |
| 806100200 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | MD39949 (Washington) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | MD00039949 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Mary Medical Center | Walla walla, WA | Hospital |
| Dayton General Hospital | Dayton, WA | Hospital |
| Wallowa Memorial Hospital | Enterprise, OR | Hospital |
| Good Shepherd Medical Center | Hermiston, OR | Hospital |
| Kadlec Regional Medical Center | Richland, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services - Washington | 2860552973 | 223 |
| Entity Name | Providence Health & Services - Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922259738 PECOS PAC ID: 2860552973 Enrollment ID: O20081223000478 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Suwong Wongsuwan, MD Po Box 32, Liberty Lake, WA 99019-0032 Ph: (509) 897-2600 | Dr Suwong Wongsuwan, MD 401 W Poplar St, St Mary Medical Center, Cardiology Suite, Walla Walla, WA 99362-2846 Ph: (509) 897-2600 |
Dr. Galen S Mcquarrie, M. D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 77 Wainwright Dr, Walla Walla, WA 99362 Phone: 509-525-5200 | |
Dr. Delwyn Richard Baker, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 77 Wainwright Drive, Walla Walla, WA 99362 Phone: 509-525-5200 | |
Alonso Dario Pezo Salazar, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1313 N 13th Ave, Walla Walla, WA 99362 Phone: 509-525-3610 | |
Lori Alborn Brown, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 380 Chase St, Walla Walla, WA 99362 Phone: 509-525-8110 Fax: 509-522-5743 | |
Timothy A Davidson, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 401 W Poplar, Walla Walla, WA 99362 Phone: 509-522-5940 Fax: 509-522-5744 | |
Mrs. Cynthia Lynn Rasch, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 401 W Poplar St, Psmpg Hospitalists, Walla Walla, WA 99362 Phone: 509-525-3320 Fax: 509-522-5184 | |
Dr. Philip L Hooper, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 55 West Tietan, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1593 |