| Jonathan Y Wong, PA | |
|
1615 Delaware St, Longview, WA 98632-2310 | |
| (360) 414-2700 | |
| (360) 414-2714 |
| Full Name | Jonathan Y Wong |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1615 Delaware St, Longview, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851385561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA10004614 (Washington) | Primary |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134178999 PECOS PAC ID: 9739092065 Enrollment ID: O20031111000831 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Y Wong, PA Po Box 249, Longview, WA 98632-7154 Ph: (360) 414-2048 | Jonathan Y Wong, PA 1615 Delaware St, Longview, WA 98632-2310 Ph: (360) 414-2700 |
David L Oliver, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1706 Washington Way, Longview, WA 98632 Phone: 360-423-9580 Fax: 360-423-6230 |
Sarah Wilber, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 |
Jesse R Shaffer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3500 Fax: 360-501-3555 |
Matthew Johnson, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 Fax: 360-414-2739 |
Nicholas E Austin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1706 Washington Way, Longview, WA 98632 Phone: 360-423-0390 Fax: 360-577-3865 |
Andrew Musgrave, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 855-333-6947 |
Sara Talal Muhtaseb, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1152 Douglas St, Longview, WA 98632 Phone: 760-681-3444 Fax: 844-697-8702 |