Dr Jeremy A Idjadi, MD | |
834 Sheridan St, Port Townsend, WA 98368-2443 | |
(360) 344-0400 | |
(360) 344-0418 |
Full Name | Dr Jeremy A Idjadi |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 24 Years |
Location | 834 Sheridan St, Port Townsend, 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 |
---|---|---|---|
1578659264 | NPI | - | NPPES |
P00669277 | Other | WA | MEDICARE RR KING CO. |
G8891350 | Other | WA | MEDICARE EMRI |
G8862908 | Other | WA | MEDICARE POSM |
0213802 | Other | WA | L & I |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0005X | Orthopaedic Surgery - Sports Medicine | MD00046591 (Washington) | Secondary |
207X00000X | Orthopaedic Surgery | MD00046591 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jefferson Healthcare | Port townsend, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jefferson County Public Hospital District No 2 | 4789593708 | 105 |
Entity Name | Jefferson County Public Hospital District No 2 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356492953 PECOS PAC ID: 4789593708 Enrollment ID: O20031111000542 |
Entity Name | Proliance Surgeons Inc Ps |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023170313 PECOS PAC ID: 8527972900 Enrollment ID: O20031119000128 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeremy A Idjadi, MD 834 Sheridan St, Port Townsend, WA 98368-2443 Ph: (360) 385-2200 | Dr Jeremy A Idjadi, MD 834 Sheridan St, Port Townsend, WA 98368-2443 Ph: (360) 344-0400 |
Dr. David Stafford Whitney, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1045 Quincy St, Port Townsend, WA 98368 Phone: 360-385-6190 | |
Alan G Greenwald, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 834 Sheridan St, Port Townsend, WA 98368 Phone: 360-344-0400 Fax: 360-344-0418 |