| Mr Ivan Pe Law, MD | |
|
176 1st Ave N, Ilwaco, WA 98624-9137 | |
| (360) 642-3747 | |
| (360) 642-3361 |
| Full Name | Mr Ivan Pe Law |
|---|---|
| Gender | Male |
| Speciality | Hematology/oncology |
| Experience | 62 Years |
| Location | 176 1st Ave N, Ilwaco, 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 |
|---|---|---|---|
| 1720260441 | NPI | - | NPPES |
| 1233709 | Medicaid | WA | |
| 041160 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | MD00031977 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Havasu Regional Medical Center | Lake havasu city, AZ | Hospital |
| La Paz Regional Hospital | Parker, AZ | Hospital |
| Kingman Regional Medical Center | Kingman, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hrmc, Llc | 3072641265 | 33 |
| Entity Name | Hrmc, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003139387 PECOS PAC ID: 3072641265 Enrollment ID: O20100508000148 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ivan Pe Law, MD Po Box N, Ilwaco, WA 98624-0319 Ph: (360) 642-3747 | Mr Ivan Pe Law, MD 176 1st Ave N, Ilwaco, WA 98624-9137 Ph: (360) 642-3747 |
John Fullerton Barrett, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 174 1st Ave N, Ilwaco, WA 98624 Phone: 360-642-3181 Fax: 360-642-6329 |
Albert O Fabiano, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 176 1st Ave N, Po Drawer N, Ilwaco, WA 98624 Phone: 360-642-3747 Fax: 360-642-3361 |