| Kelly A Phillips, DO | |
|
11315 Bridgeport Way Sw, Emergency Dept, Lakewood, WA 98499-3004 | |
| (253) 985-8700 | |
| Not Available |
| Full Name | Kelly A Phillips |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 17 Years |
| Location | 11315 Bridgeport Way Sw, Lakewood, 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 |
|---|---|---|---|
| 1003047796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 4759 (Oklahoma) | Secondary |
| 207P00000X | Emergency Medicine | OP60477228 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Texas Health Harris Methodist Hospital Fort Worth | Fort worth, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Texas Medicine Resources, Llp | 5890688212 | 229 |
| Entity Name | Integrative Emergency Services Physician Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285922542 PECOS PAC ID: 0749447936 Enrollment ID: O20120130000932 |
| Entity Name | Texas Medicine Resources, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376581900 PECOS PAC ID: 5890688212 Enrollment ID: O20130702000785 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly A Phillips, DO 11315 Bridgeport Way Sw, Emergency Dept, Lakewood, WA 98499-3004 Ph: (253) 985-8700 | Kelly A Phillips, DO 11315 Bridgeport Way Sw, Emergency Dept, Lakewood, WA 98499-3004 Ph: (253) 985-8700 |
Matthew M Rice, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-588-1711 Fax: 253-581-6588 | |
James Bae Lee, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-588-1711 Fax: 253-944-7922 | |
Sean Thomas Baxter, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-589-8700 Fax: 253-581-6588 | |
Michael J Larson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-588-1711 Fax: 253-838-6418 | |
Ian David Cowan, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-588-1711 Fax: 253-838-6418 | |
Edson Gerry Ponraj, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 11315 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-589-8700 Fax: 253-581-6588 |