| Ms Priyanka Shah O'brien, MD | |
|
1801 1st Ave Ste 3a, Longview, WA 98632-3271 | |
| (360) 636-4469 | |
| Not Available |
| Full Name | Ms Priyanka Shah O'brien |
|---|---|
| Gender | Female |
| Speciality | Otolaryngology |
| Experience | 13 Years |
| Location | 1801 1st Ave Ste 3a, Longview, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326306317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 270776 (Massachusetts) | Secondary |
| 207Y00000X | Otolaryngology | MD60840702 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| 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 | 8820178288 | 221 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609061969 PECOS PAC ID: 8820178288 Enrollment ID: O20080110000429 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Priyanka Shah O'brien, MD 200 Mill Rd Ste 180, Fairhaven, MA 02719-5255 Ph: (508) 973-2000 | Ms Priyanka Shah O'brien, MD 1801 1st Ave Ste 3a, Longview, WA 98632-3271 Ph: (360) 636-4469 |
Edward Leon Treyve, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1801 1st Ave, Suite 3a, Longview, WA 98632 Phone: 360-636-4469 Fax: 360-425-4970 | |
Jeffrey Rich Davis, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1801 1st Ave, Suite 3a, Longview, WA 98632 Phone: 360-636-4469 Fax: 360-425-4970 |