| Jessy Edgardo Ang Jr, MD | |
|
9537 Gravelly Lake Dr Sw, Lakewood, WA 98499-1513 | |
| (253) 984-2000 | |
| (253) 984-2049 |
| Full Name | Jessy Edgardo Ang Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 14 Years |
| Location | 9537 Gravelly Lake Dr Sw, Lakewood, 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 |
|---|---|---|---|
| 1639518327 | NPI | - | NPPES |
| 2156819 | Medicaid | WA | |
| 366472 | Other | WA | STATE L&I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD462471 (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | MD60656540 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Tacoma, WA | Home health agency |
| Puget Sound Home Health | Tacoma, WA | Home health agency |
| St Clare Hospital | Lakewood, WA | Hospital |
| St Joseph Medical Center | Tacoma, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Franciscan Medical Group | 0547173866 | 1259 |
| Entity Name | Franciscan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessy Edgardo Ang Jr, MD 9537 Gravelly Lake Dr Sw, Lakewood, WA 98499-1513 Ph: (253) 984-2000 | Jessy Edgardo Ang Jr, MD 9537 Gravelly Lake Dr Sw, Lakewood, WA 98499-1513 Ph: (253) 984-2000 |
Kristy A Walton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5700 100th St Sw Ste 510, Lakewood Clinic, Lakewood, WA 98499 Phone: 253-459-6060 Fax: 253-459-6064 | |
Dr. Yilei Gu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11307 Bridgeport Way Sw Ste 200, Lakewood, WA 98499 Phone: 253-985-6688 Fax: 253-922-5299 | |
Constance Blair Campbell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10510 Gravelly Lake Dr Sw, Lakewood, WA 98499 Phone: 253-589-7030 Fax: 253-589-7033 | |
Frida Rineth Pena Benitez, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 10510 Gravelly Lake Dr Sw, Lakewood, WA 98499 Phone: 253-589-7030 Fax: 253-589-7033 | |
Micah Atwood, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 5700 100th St Sw Ste 510, Lakewood, WA 98499 Phone: 253-792-6526 Fax: 253-459-6065 | |
Dr. Lynn Fioretti, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 10510 Gravelly Lake Drive, Lakewood, WA 98499 Phone: 253-589-7030 Fax: 253-589-7033 | |
Scott Anthony Trapman, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8511 S Tacoma Way # 200, Lakewood, WA 98499 Phone: 253-588-4015 Fax: 253-588-4035 |