Ellen L Andrae, MD | |
1003 Providence Dr, Suite 110, Newberg, OR 97132-7521 | |
(503) 537-5900 | |
Not Available |
Full Name | Ellen L Andrae |
---|---|
Gender | Female |
Speciality | Neurology |
Experience | 19 Years |
Location | 1003 Providence Dr, Newberg, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427248202 | NPI | - | NPPES |
P00873834 | Other | OR | RR MEDICARE - PROVIDENCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | A98807 (California) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | MD151662 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Newberg Medical Center | Newberg, OR | Hospital |
Providence St Vincent Medical Center | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Oregon | 0648183608 | 1344 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952482275 PECOS PAC ID: 3072415652 Enrollment ID: O20040123000519 |
Entity Name | Providence Health & Services - Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912282369 PECOS PAC ID: 5294901922 Enrollment ID: O20120319000430 |
Mailing Address | Practice Location Address |
---|---|
Ellen L Andrae, MD Po Box 3158, Portland, OR 97208-3158 Ph: () - | Ellen L Andrae, MD 1003 Providence Dr, Suite 110, Newberg, OR 97132-7521 Ph: (503) 537-5900 |
Dr. Isabel Casillas Rosales, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1003 Providence Dr, Suite 110, Newberg, OR 97132 Phone: 503-537-5900 | |
Drew M Houston, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1003 N Providence Dr Ste 210, Newberg, OR 97132 Phone: 503-537-5620 | |
Dr. Keith Henry Griffin, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 33305 Ne Old Parrett Mountain Rd, Newberg, OR 97132 Phone: 503-720-5145 | |
Ashutosh Kumar Lodhi, M.D., M.P.H. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1003 Providence Dr, Newberg, OR 97132 Phone: 503-537-5900 | |
Brett Daniel Kaylor, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1000 N Providence Dr Ste 210, Newberg, OR 97132 Phone: 503-537-5900 | |
Dr. Marvin David Seppala, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1901 Esther St, Newberg, OR 97132 Phone: 503-554-4334 |