| Ellen B Stevenson, MD | |
|
2801 N Gantenbein Ave, Department Of Pediatrics, Legacy Emanuel Hospital, Portland, OR 97227-1623 | |
| (503) 413-2402 | |
| (503) 413-2566 |
| Full Name | Ellen B Stevenson |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 2801 N Gantenbein Ave, Portland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043246838 | NPI | - | NPPES |
| 270994 | Medicaid | OR | |
| 000917936K | Medicaid | GA | |
| 8155160 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | MD27853 (Oregon) | Primary |
| 208M00000X | Hospitalist | 046652 (Georgia) | Secondary |
| Entity Name | University Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen B Stevenson, MD 2801 N Gantenbein Ave, Department Of Pediatrics, Legacy Emanuel Hospital, Portland, OR 97227 Ph: (503) 413-2402 | Ellen B Stevenson, MD 2801 N Gantenbein Ave, Department Of Pediatrics, Legacy Emanuel Hospital, Portland, OR 97227-1623 Ph: (503) 413-2402 |
Dr. Augustine Okechukwu Okeke, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5050 Ne Hoyt St, Suite 540, Portland, OR 97213 Phone: 503-215-6600 | |
Ivan I Biley, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Mt 2800, Portland, OR 97225 Phone: 503-216-2621 | |
Dr. Rhonda Ann Brown, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4400 Ne Halsey St, Portland, OR 97213 Phone: 503-215-0750 | |
Todd R Merrick, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-2906 Fax: 503-216-4114 | |
Dr. Rachel Anne Westwood, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd # L-579, Portland, OR 97239 Phone: 503-494-8311 | |
Joel N Papak, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Us Veterans Hospital Rd, P3med, Portland, OR 97239 Phone: 503-220-8262 |