| Gary L Boog, PA-C | |
|
915 Anderson Dr, Aberdeen, WA 98520-1006 | |
| (360) 532-8830 | |
| Not Available |
| Full Name | Gary L Boog |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 915 Anderson Dr, Aberdeen, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710051255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA60037894 (Washington) | Primary |
| Entity Name | Grays Harbor Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154378859 PECOS PAC ID: 3577462365 Enrollment ID: O20031231000081 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary L Boog, PA-C 915 Anderson Dr, Aberdeen, WA 98520-1006 Ph: (360) 532-8830 | Gary L Boog, PA-C 915 Anderson Dr, Aberdeen, WA 98520-1006 Ph: (360) 532-8830 |
Phyllis L. Barks, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1006 N H St Fl 4, Aberdeen, WA 98520 Phone: 360-537-6450 Fax: 360-537-6451 |
Britney Nicole Ratliff, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 915 Anderson Dr, Aberdeen, WA 98520 Phone: 360-532-8330 |
Brian Earl Goody, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 915 Anderson Dr, Aberdeen, WA 98520 Phone: 360-537-6120 |
Jennifer Thompson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 915 Anderson Dr, Aberdeen, WA 98520 Phone: 360-532-3808 |
Mr. Normand B Lecomte, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 915 Anderson Dr, Aberdeen, WA 98520 Phone: 360-537-6113 Fax: 360-537-6146 |
Elissa Freudenberg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1921 Sumner Ave, Aberdeen, WA 98520 Phone: 360-538-0135 Fax: 360-533-3475 |
Kathleen Ann Davies, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 915 Anderson Dr, Aberdeen, WA 98520 Phone: 360-537-6113 Fax: 360-537-6146 |