Michael Robin Ellen, MD | |
907 Georgiana St, Port Angeles, WA 98362-3911 | |
(360) 565-0999 | |
(360) 565-9251 |
Full Name | Michael Robin Ellen |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 44 Years |
Location | 907 Georgiana St, Port Angeles, Washington |
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 |
---|---|---|---|
1043287980 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MD00026526 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Olympic Medical Center | Port angeles, WA | Hospital |
Forks Community Hospital | Forks, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Olympic Medical Physicians | 9537172358 | 113 |
Entity Name | Providence Health & Services Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619176997 PECOS PAC ID: 7719873496 Enrollment ID: O20040227000744 |
Entity Name | Olympic Medical Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427081967 PECOS PAC ID: 9537172358 Enrollment ID: O20060721000246 |
Mailing Address | Practice Location Address |
---|---|
Michael Robin Ellen, MD Po Box 850, Port Angeles, WA 98362-0146 Ph: () - | Michael Robin Ellen, MD 907 Georgiana St, Port Angeles, WA 98362-3911 Ph: (360) 565-0999 |
Byron Dale Russell, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 907 Georgiana St, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-565-9251 | |
Dr. Rex Thomas Averill, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 907 Georgiana St, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-565-9251 | |
Carleen T Bensen, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 907 Georgiana St, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-565-9251 |