| Keely Coxon, MD | |
|
19200 N Kelsey St, Monroe, WA 98272-1431 | |
| (360) 794-9101 | |
| (360) 805-4759 |
| Full Name | Keely Coxon |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Experience | 5 Years |
| Location | 19200 N Kelsey St, Monroe, 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 |
|---|---|---|---|
| 1831777218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD70009452 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Regional Medical Center Everett | Everett, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services- Washington | 8325100480 | 527 |
| Optum Care Washington Pllc | 6406752153 | 684 |
| Entity Name | The Polyclinic PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174594634 PECOS PAC ID: 2163328196 Enrollment ID: O20031210000788 |
| Entity Name | Optum Care Washington PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 |
| Entity Name | Providence Health & Services- Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111 |
| Mailing Address | Practice Location Address |
|---|---|
| Keely Coxon, MD Po Box 31001 4114, Pasadena, CA 91110-4114 Ph: (360) 794-9101 | Keely Coxon, MD 19200 N Kelsey St, Monroe, WA 98272-1431 Ph: (360) 794-9101 |
Siri Eiko Ito, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14701 179th Ave Se, Monroe, WA 98272 Phone: 360-794-1447 Fax: 360-794-1485 |
Dr. Edward Paul Bahk, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19200 N Kelsey St, Monroe, WA 98272 Phone: 360-794-9101 |
Jonathan Emerson Cheng, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19200 N Kelsey St, Monroe, WA 98272 Phone: 360-794-7994 Fax: 425-259-8600 |
Kyung Eun Min, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14701 179th Ave Se, Monroe, WA 98272 Phone: 360-794-1447 Fax: 360-794-1485 |
Dr. Michael Jernie Cruz, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 19200 N Kelsey St, Monroe, WA 98272 Phone: 360-794-9101 |
Marc Edward Champaloux, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14701 179th Ave Se, Monroe, WA 98272 Phone: 360-794-1400 |
Dr. Melinda M Tonelli, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 14701 179th Ave Se, Monroe, WA 98272 Phone: 360-794-7497 |