| Lonnie L Smucker, MD | |
|
3927 Rucker Ave, Everett, WA 98201-4833 | |
| (425) 259-0966 | |
| (425) 339-5444 |
| Full Name | Lonnie L Smucker |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 3927 Rucker Ave, Everett, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548293087 | NPI | - | NPPES |
| 80058369 | Other | OR | RR MEDICARE |
| 048194016 | Other | OR | BLUE CROSS |
| 066469 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD61624301 (Washington) | Primary |
| Entity Name | Optumcare Portland Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710003140 PECOS PAC ID: 8820986441 Enrollment ID: O20040305000933 |
| Entity Name | Oregon Healthcare Resources Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982907572 PECOS PAC ID: 4486835477 Enrollment ID: O20110223001220 |
| Mailing Address | Practice Location Address |
|---|---|
| Lonnie L Smucker, MD Po Box 5127, Everett, WA 98206-5127 Ph: (206) 860-5414 | Lonnie L Smucker, MD 3927 Rucker Ave, Everett, WA 98201-4833 Ph: (425) 259-0966 |
Raynald H Im, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3927 Rucker Ave, Everett, WA 98201 Phone: 425-339-5422 Fax: 425-339-5444 | |
Kelvin Karl Yu Wong, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-259-0966 | |
Arnold Heng, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1818 121st St Se, Everett, WA 98208 Phone: 425-357-3305 | |
Monica Gillie, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1019 112th St Sw, Everett, WA 98204 Phone: 425-640-5500 | |
Dr. Leslie A Greene, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3927 Rucker Ave, Everett, WA 98201 Phone: 425-339-5422 Fax: 425-339-5444 | |
Corina Nistor, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4027 Hoyt Ave, Everett, WA 98201 Phone: 425-317-3630 Fax: 425-317-3689 | |
Diem-phuong Ngoc Tran, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1019 112th St Sw, Everett, WA 98204 Phone: 425-551-6200 Fax: 425-551-6017 |