| Jeffrey Rich Davis, MD | |
|
1801 1st Ave, Suite 3a, Longview, WA 98632 | |
| (360) 636-4469 | |
| (360) 425-4970 |
| Full Name | Jeffrey Rich Davis |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 25 Years |
| Location | 1801 1st Ave, Longview, 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 |
|---|---|---|---|
| 1871507251 | NPI | - | NPPES |
| 8256067 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | MD00038750 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peacehealth Southwest Medical Center | Vancouver, WA | Hospital |
| Peacehealth St John Medical Center | Longview, WA | Hospital |
| Legacy Salmon Creek Medical Center | Vancouver, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peacehealth | 8820178288 | 221 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609061969 PECOS PAC ID: 8820178288 Enrollment ID: O20080110000429 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Rich Davis, MD 1801 1st Ave, Suite 3a, Longview, WA 98632 Ph: (360) 636-4469 | Jeffrey Rich Davis, MD 1801 1st Ave, Suite 3a, Longview, WA 98632 Ph: (360) 636-4469 |
Ms. Priyanka Shah O'brien, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1801 1st Ave Ste 3a, Longview, WA 98632 Phone: 360-636-4469 | |
Edward Leon Treyve, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1801 1st Ave, Suite 3a, Longview, WA 98632 Phone: 360-636-4469 Fax: 360-425-4970 |