| Dr William Blount Ellison Iii, MD | |
| 890 Oak St Se, Salem, OR 97301-3905 | |
| (843) 568-2969 | |
| Not Available | 
| Full Name | Dr William Blount Ellison Iii | 
|---|---|
| Gender | Male | 
| Speciality | Anesthesiology | 
| Location | 890 Oak St Se, Salem, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1891353066 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | MD215164 (Oregon) | Primary | 
| Entity Name | Salem Health West Valley | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1245237486 PECOS PAC ID: 7810804630 Enrollment ID: O20040225000830 | 
| Entity Name | Salem Health | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1265431829 PECOS PAC ID: 8628986668 Enrollment ID: O20040309001131 | 
| Entity Name | Hospitalist Medicine Physicians Of Washington - Tcs | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1649816380 PECOS PAC ID: 6800240102 Enrollment ID: O20230920001616 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr William Blount Ellison Iii, MD 417 N 2nd St, Silverton, OR 97381-1707 Ph: (843) 568-2969 | Dr William Blount Ellison Iii, MD 890 Oak St Se, Salem, OR 97301-3905 Ph: (843) 568-2969 | 
| Dr. Melvin D Wade, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2525 12th St Se Ste 110, Salem, OR 97302 Phone: 503-364-3704 Fax: 503-399-9722 | |
| Mr. Igor Gostyuzhev, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 890 Oak St Se, Salem, OR 97301 Phone: 503-561-5200 | |
| Dr. William J Monson, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3973 Croisan Mountain Dr S, Salem, OR 97302 Phone: 503-559-0501 | |
| Dr. Linda K Stevenson, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1925 Hillwood Ct S, Salem, OR 97302 Phone: 503-364-9594 Fax: 503-364-9594 | |
| John A. Borgoy, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5125 Skyline Rd S, Kaiser Permanente Skyline Clinic, Salem, OR 97306 Phone: 503-566-4520 Fax: 503-566-4557 | |
| Dr. Poly Chen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2480 Liberty St Ne, Suite 110, Salem, OR 97301 Phone: 503-371-1010 | |
| Dr. Angela N. Anderson, D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 890 Oak St Se, Salem, OR 97301 Phone: 503-814-3334 |