Dr Richard Ashley Ellis, DO | |
1190 Veterans Blvd Ste C, Redwood City, CA 94063-2037 | |
(650) 299-7800 | |
Not Available |
Full Name | Dr Richard Ashley Ellis |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 19 Years |
Location | 1190 Veterans Blvd Ste C, Redwood City, California |
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 |
---|---|---|---|
1386702140 | NPI | - | NPPES |
12689 | Other | CA | CA MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS17840 (Florida) | Secondary |
207QS0010X | Family Medicine - Sports Medicine | 12689 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Dr Richard Ashley Ellis, DO 12234 Panama City Beach Pkwy Ste B, Panama City Beach, FL 32407-2726 Ph: (850) 233-2323 | Dr Richard Ashley Ellis, DO 1190 Veterans Blvd Ste C, Redwood City, CA 94063-2037 Ph: (650) 299-7800 |
Frank Lien, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1190 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2234 | |
Cheryl Hadley, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 290 Redwood Shores Pkwy, Redwood City, CA 94065 Phone: 650-598-3160 | |
Amisha S. Chhipwadia, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 311 Fuller St, Redwood City, CA 94063 Phone: 240-693-3281 | |
Dr. Jason M Wong, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 114 5th Avenue, Redwood City, CA 94063 Phone: 650-839-1447 | |
Andrea Michelle Smith, RN, MS, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4200 Farm Hill Blvd, Redwood City, CA 94061 Phone: 650-306-3100 | |
Dr. Anup Mahesh Desai, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 272 Upland Rd, Redwood City, CA 94062 Phone: 650-208-9140 | |
Dr. Spencer B Wong, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4200 Farm Hill Blvd, Redwood City, CA 94061 Phone: 650-306-3309 |