| Rebecca Suzanne Foreman, MD | |
|
1615 Delaware St, Suite 200, Longview, WA 98632-2367 | |
| (360) 501-3547 | |
| Not Available |
| Full Name | Rebecca Suzanne Foreman |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 17 Years |
| Location | 1615 Delaware St, 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 |
|---|---|---|---|
| 1962639831 | NPI | - | NPPES |
| 500656692 | Medicaid | OR | |
| 2029200 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 2010014001 (Missouri) | Secondary |
| 207R00000X | Internal Medicine | 125.056329 (Illinois) | Secondary |
| 207N00000X | Dermatology | MD60356693 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peacehealth St John Medical Center | Longview, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peacehealth | 5890689293 | 181 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Suzanne Foreman, MD 1115 Se 164th Ave, Dept. 358, Vancouver, WA 98683-9324 Ph: (360) 729-1462 | Rebecca Suzanne Foreman, MD 1615 Delaware St, Suite 200, Longview, WA 98632-2367 Ph: (360) 501-3547 |
Whitney Blaire Fancher, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1106 Douglas St Ste F, Longview, WA 98632 Phone: 360-636-4500 | |
Dr. Janet Marie Trowbridge, M.D., PH.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3547 Fax: 360-578-3355 |