Dr Jackson S Horsley, MD | |
603 S Chestnut St, Ellensburg, WA 98926-3875 | |
(509) 962-9841 | |
Not Available |
Full Name | Dr Jackson S Horsley |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 603 S Chestnut St, Ellensburg, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770514028 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD00017261 (Washington) | Primary |
Entity Name | Northwest Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235172370 PECOS PAC ID: 3476462334 Enrollment ID: O20041214000892 |
Mailing Address | Practice Location Address |
---|---|
Dr Jackson S Horsley, MD 505 S 336th St, Suite 600, Federal Way, WA 98003-6328 Ph: (253) 838-6180 | Dr Jackson S Horsley, MD 603 S Chestnut St, Ellensburg, WA 98926-3875 Ph: (509) 962-9841 |
Dr. David Philip Frick, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 603 S Chestnut St, Ellensburg, WA 98926 Phone: 509-962-9841 | |
Dr. James Collins Manson-hing, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 603 S Chestnut St, Ellensburg, WA 98926 Phone: 509-962-9841 | |
Dr. James R Wickerath, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1706 E Capitol Ave, Variable Subcontracting Cities And States, Ellensburg, WA 98926 Phone: 509-674-3759 |