| Lyle T Calcamuggio, MD | |
|
11311 Bridgeport Way Sw, Ste 302, Lakewood, WA 98499-3071 | |
| (253) 985-2920 | |
| (253) 985-6812 |
| Full Name | Lyle T Calcamuggio |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 36 Years |
| Location | 11311 Bridgeport Way Sw, Lakewood, 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 |
|---|---|---|---|
| 1255331922 | NPI | - | NPPES |
| 01981 | Other | OH | PARAMOUNT |
| 160060036 | Other | OH | RRMC |
| 000000244956 | Other | OH | ANTHEM |
| 13-50420 | Other | OH | UHC |
| 0301634 | Other | WA | STATE L&I |
| 4557213 | Other | OH | AETNA |
| 0933986 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 35060887 (Ohio) | Secondary |
| 207V00000X | Obstetrics & Gynecology | MD60209694 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Franciscan Medical Group | 0547173866 | 1259 |
| Entity Name | Franciscan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789 |
| Entity Name | Community Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790762755 PECOS PAC ID: 1850201559 Enrollment ID: O20040213000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Lyle T Calcamuggio, MD 11311 Bridgeport Way Sw, Ste 302, Lakewood, WA 98499-3071 Ph: (253) 985-2920 | Lyle T Calcamuggio, MD 11311 Bridgeport Way Sw, Ste 302, Lakewood, WA 98499-3071 Ph: (253) 985-2920 |
Cynthia Lee Brooke, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10510 Gravelly Lake Drive, Community Health Care, Lakewood, WA 98499 Phone: 253-471-4553 Fax: 253-474-5395 | |
Dr. David John Magelssen, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4 Lakeside Country Clb Sw, Lakewood, WA 98498 Phone: 253-968-1161 | |
Murray Stromberg, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 9332 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-459-6065 | |
George B Mcclure, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 11410 Madera Cir Sw, Lakewood, WA 98499 Phone: 253-820-7212 | |
Dr. Gayle Matthews, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 10510 Gravelly Lake Dr Sw, Lakewood, WA 98499 Phone: 253-597-4550 |