Ellen Dejong, MD in Everett, WA - Medicare Family Practice

Ellen Dejong, MD is a medicare enrolled "Family Medicine" physician in Everett, Washington. She went to New York University School Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Optum Care Washington Pllc and her current practice location is 3927 Rucker Ave, Everett, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 339-5422.

Ellen Dejong is licensed to practice in Washington (license number MD00024413) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639167638.

Contact Information

	Ellen Dejong, MD
	3927 Rucker Ave, Everett, WA 98201-4833
	(425) 339-5422
	(425) 339-5444

Map and Direction

Physician's Profile

Full Name	Ellen Dejong
Gender	Female
Speciality	Family Practice
Experience	40 Years
Location	3927 Rucker Ave, Everett, Washington
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ellen Dejong attended and graduated from New York University School Of Medicine in 1984

NPI Data:

NPI Number: 1639167638
Provider Enumeration Date: 10/12/2005
Last Update Date: 04/14/2021

Medicare PECOS Information:

PECOS PAC ID: 7911969647
Enrollment ID: I20041103001001

Medical Identifiers

Medical identifiers for Ellen Dejong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639167638	NPI	-	NPPES
2055678	Medicaid	WA
1639167638	Medicaid	NV
P01332614	Other	NV	RR MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	14042 (Nevada)	Secondary
207Q00000X	Family Medicine	MD00024413 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Optum Care Washington Pllc	6406752153	559

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ellen Dejong allows following entities to bill medicare on her behalf.

Entity Name	The Polyclinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174594634 PECOS PAC ID: 2163328196 Enrollment ID: O20031210000788

Entity Name	Optum Care Washington Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ellen Dejong is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ellen Dejong, MD Po Box 5127, Everett, WA 98206-5127 Ph: (425) 339-5422	Ellen Dejong, MD 3927 Rucker Ave, Everett, WA 98201-4833 Ph: (425) 339-5422

Reviews and Comments

Family Medicine Doctors in Everett, WA

Raynald H Im, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3927 Rucker Ave, Everett, WA 98201 Phone: 425-339-5422 Fax: 425-339-5444
Kelvin Karl Yu Wong, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-259-0966
Arnold Heng, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1818 121st St Se, Everett, WA 98208 Phone: 425-357-3305
Nathan P Kerestes, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 8609 Evergreen Way, Everett, WA 98208 Phone: 801-930-3369
Monica Gillie, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1019 112th St Sw, Everett, WA 98204 Phone: 425-640-5500
Dr. Leslie A Greene, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3927 Rucker Ave, Everett, WA 98201 Phone: 425-339-5422 Fax: 425-339-5444
Corina Nistor, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4027 Hoyt Ave, Everett, WA 98201 Phone: 425-317-3630 Fax: 425-317-3689

Ellen Dejong, MD - Medicare Family Practice in Everett, WA