| Kyle Nathan Backer, MD | |
|
1615 Delaware St, Longview, WA 98632-2367 | |
| (360) 636-8760 | |
| (360) 414-7599 |
| Full Name | Kyle Nathan Backer |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 12 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 |
|---|---|---|---|
| 1487066841 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peacehealth Southwest Medical Center | Vancouver, WA | Hospital |
| Peacehealth St John Medical Center | Longview, WA | Hospital |
| Columbia Memorial Hospital | Astoria, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peacehealth | 5890689293 | 181 |
| Peacehealth | 9739092065 | 93 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134178999 PECOS PAC ID: 9739092065 Enrollment ID: O20031111000831 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Nathan Backer, MD Po Box 232410, San Diego, CA 92193-2410 Ph: (800) 926-8273 | Kyle Nathan Backer, MD 1615 Delaware St, Longview, WA 98632-2367 Ph: (360) 636-8760 |
Min Guang Wang, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1217 14th Avenue, Longview, WA 98632 Phone: 360-425-5620 Fax: 360-425-7219 | |
Laila A Naqib-osman, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 720 14th Ave, Longview, WA 98632 Phone: 360-501-8315 Fax: 360-425-7219 | |
Morrill T Moorehead, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1217 14th Ave, Longview, WA 98632 Phone: 360-425-5620 Fax: 360-425-7219 |