| Dr Jeremy A Idjadi, MD | |
|
834 Sheridan St, Port Townsend, WA 98368-2443 | |
| (360) 344-0400 | |
| (360) 344-0418 |
| Full Name | Dr Jeremy A Idjadi |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 26 Years |
| Location | 834 Sheridan St, Port Townsend, 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 |
|---|---|---|---|
| 1578659264 | NPI | - | NPPES |
| P00669277 | Other | WA | MEDICARE RR KING CO. |
| G8891350 | Other | WA | MEDICARE EMRI |
| G8862908 | Other | WA | MEDICARE POSM |
| 0213802 | Other | WA | L & I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | MD00046591 (Washington) | Secondary |
| 207X00000X | Orthopaedic Surgery | MD00046591 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jefferson Healthcare | Port townsend, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jefferson County Public Hospital District No 2 | 4789593708 | 104 |
| Entity Name | Jefferson County Public Hospital District No 2 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356492953 PECOS PAC ID: 4789593708 Enrollment ID: O20031111000542 |
| Entity Name | Proliance Surgeons Inc P S |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023170313 PECOS PAC ID: 8527972900 Enrollment ID: O20031119000128 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeremy A Idjadi, MD 834 Sheridan St, Port Townsend, WA 98368-2443 Ph: (360) 385-2200 | Dr Jeremy A Idjadi, MD 834 Sheridan St, Port Townsend, WA 98368-2443 Ph: (360) 344-0400 |
Dr. David Stafford Whitney, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1045 Quincy St, Port Townsend, WA 98368 Phone: 360-385-6190 | |
Alan G Greenwald, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 834 Sheridan St, Port Townsend, WA 98368 Phone: 360-344-0400 Fax: 360-344-0418 |