| Edwin C Lopez, PA-C | |
|
1455 Battersby Ave, Enumclaw, WA 98022-3634 | |
| (253) 426-6341 | |
| (253) 426-6344 |
| Full Name | Edwin C Lopez |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 44 Years |
| Location | 1455 Battersby Ave, Enumclaw, 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 |
|---|---|---|---|
| 1649363706 | NPI | - | NPPES |
| 0127911 | Other | WA | STATE L&I |
| 1045085 | Medicaid | WA | |
| 970007234 | Other | WA | MEDICARE RAILROAD |
| 8902557 | Other | WA | STATE CRIME VICTIMS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA10000864 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Othello Community Hospital | Othello, WA | Hospital |
| Columbia Basin Hospital | Ephrata, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lourdes Hospital Llc | 1850642562 | 42 |
| Grant County Public Hospital District No. 3 | 6709775166 | 68 |
| Grant County Public Hospital District No. 3 | 8325937675 | 19 |
| Entity Name | Grant County Public Hospital District No. 3 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134283930 PECOS PAC ID: 6709775166 Enrollment ID: O20040312001134 |
| Entity Name | R&b Fleck Enterprises LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225163926 PECOS PAC ID: 2466438171 Enrollment ID: O20040624001325 |
| Entity Name | Adams County Public Hospital District 3 |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1811108822 PECOS PAC ID: 5092604801 Enrollment ID: O20110929000565 |
| Entity Name | Lourdes Hospital LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659861060 PECOS PAC ID: 1850642562 Enrollment ID: O20181113000853 |
| Mailing Address | Practice Location Address |
|---|---|
| Edwin C Lopez, PA-C 1717 S J St, Tacoma, WA 98405-4933 Ph: (253) 426-6341 | Edwin C Lopez, PA-C 1455 Battersby Ave, Enumclaw, WA 98022-3634 Ph: (253) 426-6341 |
Mrs. Jennifer Marie Erickson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3021 Griffin Ave, Enumclaw, WA 98022 Phone: 360-825-6511 Fax: 360-825-6536 |
Mr. Anthony Carroll Jordan, PA-S Physician Assistant Medicare: Medicare Enrolled Practice Location: 1427 Jefferson Ave, Suite 101, Enumclaw, WA 98022 Phone: 360-825-4466 |
Brian J Hiller, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 853 Watson St N Ste 201, Enumclaw, WA 98022 Phone: 360-768-4045 Fax: 360-226-3942 |
Kelcey Webster, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3021 Griffin Ave, Enumclaw, WA 98022 Phone: 360-825-6511 |
Vera Grant, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1818 Cole St Fl 1, Enumclaw, WA 98022 Phone: 360-802-5032 Fax: 360-802-5039 |
Emily C Cunningham-carter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1427 Jefferson Ave Ste 102, Enumclaw, WA 98022 Phone: 360-625-8304 |
Nataliya Bilan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1427 Jefferson Ave Ste 101, Enumclaw, WA 98022 Phone: 360-825-4466 |