| Cody Joshua Ellefsen, DO | |
|
203 E Dalke Ave Ste B, Spokane, WA 99208-8112 | |
| (509) 724-0198 | |
| (509) 724-0198 |
| Full Name | Cody Joshua Ellefsen |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 203 E Dalke Ave Ste B, Spokane, 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 |
|---|---|---|---|
| 1578759304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OP00002282 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Coulee Medical Center | Grand coulee, WA | Hospital |
| Rockwood South Hill | Spokane, WA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Douglas, Grant, Lincoln And Okanogan Counties Public Hospital District | 9335050285 | 27 |
| Entity Name | Pend Oreille County Public Hospital District No 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427264795 PECOS PAC ID: 3274431184 Enrollment ID: O20031230000017 |
| Entity Name | Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265422935 PECOS PAC ID: 9335050285 Enrollment ID: O20040311000181 |
| Entity Name | Jamison Family Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922479088 PECOS PAC ID: 4486955606 Enrollment ID: O20151214000289 |
| Entity Name | Washington Pac Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336678168 PECOS PAC ID: 4082986070 Enrollment ID: O20170825002664 |
| Entity Name | Wa Pacs 2 Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144706532 PECOS PAC ID: 6901156538 Enrollment ID: O20180831002235 |
| Entity Name | Cs Pacs 3 Northwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811752066 PECOS PAC ID: 8729526496 Enrollment ID: O20241011003807 |
| Mailing Address | Practice Location Address |
|---|---|
| Cody Joshua Ellefsen, DO 203 E Dalke Ave Ste B, Spokane, WA 99208-8112 Ph: (509) 724-0198 | Cody Joshua Ellefsen, DO 203 E Dalke Ave Ste B, Spokane, WA 99208-8112 Ph: (509) 724-0198 |
Edward P. Brow, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 322 W North River Dr, Spokane, WA 99201 Phone: 509-324-6464 | |
Dr. Arild Lein, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 W Mission Ave, Spokane, WA 99201 Phone: 509-326-4343 | |
Mark Ashley Hart, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 107 E Holland Ave, Spokane, WA 99218 Phone: 509-466-3960 Fax: 509-466-9566 | |
Kelly C. Grieves, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9911 N Nevada St, Spokane, WA 99218 Phone: 509-626-9420 Fax: 509-227-7070 | |
Mr. Philip Roger Henry, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 42 E Rowan Ave, Suite A, Spokane, WA 99207 Phone: 509-483-3155 Fax: 509-483-3270 | |
Dr. Ryan Massoud, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 212 E Central Ave Ste 440, Spokane, WA 99208 Phone: 509-252-9602 Fax: 509-227-7070 | |
Nikolus Remington Richey, PA-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11402 N Newport Hwy Ste A, Spokane, WA 99218 Phone: 509-352-7814 Fax: 509-362-9875 |