| Dr Evan D Ellis, MD | |
|
200 Ne Mother Joseph Pl, Suite 210, Vancouver, WA 98664-3299 | |
| (360) 254-6161 | |
| (360) 449-1139 |
| Full Name | Dr Evan D Ellis |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 23 Years |
| Location | 200 Ne Mother Joseph Pl, Vancouver, 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 |
|---|---|---|---|
| 1366559163 | NPI | - | NPPES |
| 1366559163 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MD60270460 (Washington) | Primary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | MD60270460 (Washington) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Salmon Creek Medical Center | Vancouver, WA | Hospital |
| Providence Hood River Memorial Hospital | Hood river, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwest Surgical Specialists Pc | 4183527153 | 109 |
| Northwest Surgical Specialists Pc | 4183527153 | 109 |
| Entity Name | Northwest Surgical Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730118803 PECOS PAC ID: 4183527153 Enrollment ID: O20040128000538 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Evan D Ellis, MD 200 Ne Mother Joseph Pl, Suite 210, Vancouver, WA 98664-3299 Ph: (360) 254-6161 | Dr Evan D Ellis, MD 200 Ne Mother Joseph Pl, Suite 210, Vancouver, WA 98664-3299 Ph: (360) 254-6161 |
Edward H. Coale, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Ne Mother Joseph Pl, Suite 110, Vancouver, WA 98664 Phone: 360-254-6161 Fax: 360-449-1146 | |
Jerome J Dasilva, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Ne Mother Joseph Place, Suite 110, Vancouver, WA 98664 Phone: 360-254-6161 Fax: 360-449-1139 | |
Dr. Alexandra Makenzie, DO Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 2529 Ne 139th St, Vancouver, WA 98686 Phone: 360-882-2778 | |
Dr. Tyler Daniel Petersen, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Ne Mother Joseph Pl Ste 110, Vancouver, WA 98664 Phone: 360-254-6161 Fax: 360-803-0847 | |
Akaila Cabell-coleman, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2529 Ne 139th St, Vancouver, WA 98686 Phone: 360-882-2778 | |
Dr. Samuel Draper Weirich, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 203 Se Park Plaza Dr, Suite 140, Vancouver, WA 98684 Phone: 360-449-7039 Fax: 960-449-7034 | |
Alan P. Newman, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Ne Mother Joseph Pl, Suite 110, Vancouver, WA 98664 Phone: 360-254-6161 Fax: 360-449-1146 |