| Holly C Liberatore, MD | |
|
1615 Delaware St, Longview, WA 98632-2310 | |
| (360) 414-2000 | |
| Not Available |
| Full Name | Holly C Liberatore |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 25 Years |
| Location | 1615 Delaware St, Longview, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811928625 | NPI | - | NPPES |
| 05483727 | Medicaid | MS | |
| 8351926 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23705 (Mississippi) | Secondary |
| 207P00000X | Emergency Medicine | MD00042244 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kaiser Foundation Hospital - Westside | Hillsboro, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kaiser Foundation Health Plan Of The Northwest | 5799688230 | 1498 |
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly C Liberatore, MD Po Box 11510, Westminster, CA 92685-1510 Ph: () - | Holly C Liberatore, MD 1615 Delaware St, Longview, WA 98632-2310 Ph: (360) 414-2000 |
John Y Kim, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-636-4831 | |
Dr. Ryan Michael Caulfield, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-636-4830 | |
Dr. Rusty Wes Gust, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 | |
Aftab A Awan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 Fax: 360-414-2739 | |
Paul A Schneider, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 | |
Gary Elliot Penner, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 | |
Dr. Joshua Russell, M.D., MSC Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1615 Delaware St, St Johns Hospital - Peacehealth, Longview, WA 98632 Phone: 360-414-2000 |