Dr Katie Ellgass, MD | |
22180 Olympic College Way Nw, Poulsbo, WA 98370-6664 | |
(360) 626-4031 | |
Not Available |
Full Name | Dr Katie Ellgass |
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Gender | Female |
Speciality | Pediatrics |
Location | 22180 Olympic College Way Nw, Poulsbo, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093968570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 0101247388 (Virginia) | Secondary |
208000000X | Pediatrics | A130372 (California) | Primary |
Entity Name | Lpch Medical Group Div Of Lucile |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232 |
Mailing Address | Practice Location Address |
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Dr Katie Ellgass, MD 10500 Ne Byron Dr, Bainbridge Island, WA 98110-1972 Ph: (574) 261-5040 | Dr Katie Ellgass, MD 22180 Olympic College Way Nw, Poulsbo, WA 98370-6664 Ph: (360) 626-4031 |
John Joseph Corrales-diaz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 19245 7th Ave Ne, Poulsbo, WA 98370 Phone: 360-782-3500 Fax: 360-782-3540 | |
Dr. Emily Cecile Macdonald, DO, FAAP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 22180 Olympic College Way Nw, Suite 203, Sound Pediatrics, Poulsbo, WA 98370 Phone: 360-626-4031 Fax: 360-626-4037 | |
Bradley Troy Anderson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 19245 7th Ave Ne, Poulsbo, WA 98370 Phone: 360-782-3500 Fax: 360-782-3540 | |
Dr. Violeta Mercedes Gomez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 19540 Front St Ne, Poulsbo, WA 98370 Phone: 564-218-6135 | |
Wendy Zeeben Hawley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20730 Bond Rd Ne, #208, Poulsbo, WA 98370 Phone: 360-779-7337 Fax: 360-779-7054 | |
Bernie Jay Brown, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20730 Bond Rd Ne, #208, Poulsbo, WA 98370 Phone: 360-779-7337 Fax: 360-779-7054 |