| Mrs Ginger K Longo, MD | |
|
611 South Chestnut, Suite D, Ellensburg, WA 98926 | |
| (509) 933-8700 | |
| (509) 933-8705 |
| Full Name | Mrs Ginger K Longo |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 611 South Chestnut, Ellensburg, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942229208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | M0800 (Texas) | Secondary |
| 207V00000X | Obstetrics & Gynecology | MD00047396 (Washington) | Primary |
| Entity Name | Kittitas County Public Hospital Dist 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356375307 PECOS PAC ID: 0547179608 Enrollment ID: O20040213000046 |
| Entity Name | Valley Medical Group-renton |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619209574 PECOS PAC ID: 4183753965 Enrollment ID: O20100604000113 |
| Entity Name | Obhg Washington Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962729525 PECOS PAC ID: 0345364642 Enrollment ID: O20100823001087 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Ginger K Longo, MD 611 South Chestnut, Suite D, Ellensburg, WA 98926 Ph: (509) 933-8700 | Mrs Ginger K Longo, MD 611 South Chestnut, Suite D, Ellensburg, WA 98926 Ph: (509) 933-8700 |
Vicki L Macy, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 700 E Manitoba Ave, Ste 109, Ellensburg, WA 98926 Phone: 509-933-8720 |