| Patrick M Lassen, MD | |
|
625 9th Ave, Suite 120, Longview, WA 98632-2464 | |
| (360) 636-8950 | |
| (360) 636-8951 |
| Full Name | Patrick M Lassen |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 36 Years |
| Location | 625 9th Ave, Longview, 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 |
|---|---|---|---|
| 1285632919 | NPI | - | NPPES |
| 8239790 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD000037114 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Salem Hospital | Salem, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Salem Health | 8628986668 | 470 |
| Entity Name | Salem Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265431829 PECOS PAC ID: 8628986668 Enrollment ID: O20040309001131 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick M Lassen, MD 625 9th Ave, Suite 120, Longview, WA 98632-2464 Ph: (360) 425-3720 | Patrick M Lassen, MD 625 9th Ave, Suite 120, Longview, WA 98632-2464 Ph: (360) 636-8950 |
Patrick C Maginn, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 625 9th Ave, Suite 120, Longview, WA 98632 Phone: 360-425-3720 Fax: 360-425-0090 |
Douglas E Sutherland, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave Ste 120, Longview, WA 98632 Phone: 360-636-8950 Fax: 360-636-8951 |
Tristan T Berry, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave Ste 120, Longview, WA 98632 Phone: 360-636-8950 Fax: 360-636-8951 |
David Lee Killion, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave Ste 120, Longview, WA 98632 Phone: 360-636-8950 Fax: 360-636-8951 |
Chad C Chesley, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave, Suite 120, Longview, WA 98632 Phone: 360-636-8950 Fax: 360-636-8951 |