Thomas Lee Ellingson, MD | |
1806 W Lincoln Ave, Yakima, WA 98902-2473 | |
(509) 452-4520 | |
(509) 452-5224 |
Full Name | Thomas Lee Ellingson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1806 W Lincoln Ave, Yakima, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427066083 | NPI | - | NPPES |
00120845 | Medicaid | MS | |
2041412 | Medicaid | WA | |
1427066083 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 16492 (Mississippi) | Secondary |
207R00000X | Internal Medicine | MD00029906 (Washington) | Primary |
Entity Name | Kittitas County Public Hospital Dist 1 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356375307 PECOS PAC ID: 0547179608 Enrollment ID: O20040213000046 |
Entity Name | Community Health Of Central Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598764920 PECOS PAC ID: 4183536931 Enrollment ID: O20040414000807 |
Entity Name | Washington Emergency Physician Partners Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346586351 PECOS PAC ID: 5092951814 Enrollment ID: O20130424000635 |
Entity Name | Rural Physicians Group-pannu Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891236584 PECOS PAC ID: 0345467486 Enrollment ID: O20140909000184 |
Mailing Address | Practice Location Address |
---|---|
Thomas Lee Ellingson, MD 501 S 5th Ave, Yakima, WA 98902-3550 Ph: (509) 494-6700 | Thomas Lee Ellingson, MD 1806 W Lincoln Ave, Yakima, WA 98902-2473 Ph: (509) 452-4520 |
Daniel Doornink, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 602 E Nob Hill Blvd, Yakima, WA 98901 Phone: 509-248-3334 Fax: 509-453-6144 | |
Robert M Williams, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3909 Creekside Loop, Suite 130, Yakima, WA 98902 Phone: 509-248-6616 Fax: 509-248-4983 | |
Erik Albert Monick, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 406 S 30th Ave, Suite 101, Yakima, WA 98902 Phone: 509-248-7715 | |
George J Hotchko, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3003 Tieton Dr, Suite 320, Yakima, WA 98902 Phone: 509-452-3765 Fax: 509-452-3435 | |
Sajal Kumar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 Holton Ave, Suite 100, Yakima, WA 98902 Phone: 509-248-6292 Fax: 509-248-9134 | |
Dr. Rachana Mandru, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 406 S 30th Ave Ste 101, Yakima, WA 98902 Phone: 509-248-7715 | |
Dr. Rosa Maria Martinez, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1111 W Spruce St, Yakima, WA 98902 Phone: 509-576-7064 Fax: 509-576-0679 |