| Jonathan A Polikoff, MD | |
|
1615 Delaware St, Longview, WA 98632-2367 | |
| (360) 414-7878 | |
| (360) 414-7876 |
| Full Name | Jonathan A Polikoff |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 49 Years |
| Location | 1615 Delaware St, 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 |
|---|---|---|---|
| 1497822332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | G43519 (California) | Secondary |
| 207RX0202X | Internal Medicine - Medical Oncology | MD61107981 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 9038 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Tahoe Forest Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750412300 PECOS PAC ID: 0446161335 Enrollment ID: O20050329001397 |
| Entity Name | Tahoe Forest Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1538265780 PECOS PAC ID: 0446161335 Enrollment ID: O20080409000581 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan A Polikoff, MD 4647 Zion Ave, San Diego, CA 92120-2507 Ph: (619) 528-5000 | Jonathan A Polikoff, MD 1615 Delaware St, Longview, WA 98632-2367 Ph: (360) 414-7878 |
Alexander Shar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-7878 Fax: 360-414-7876 | |
Hugo Daniel Gonzalez, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 800-813-2000 | |
Mr. Anawin Sanguankeo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 Fax: 360-414-2739 | |
Lyudmila E Kruzhkov, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3601 | |
Dr. Sahar Taqui, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 | |
James J Nakashima, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2700 Fax: 360-414-2714 | |
Gaurav Gandhi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3601 Fax: 360-414-5768 |