| Ellen Marie Dejong, MD | |
|
10121 Pine Ave, Truckee, CA 96161-4856 | |
| (510) 307-6773 | |
| Not Available |
| Full Name | Ellen Marie Dejong |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Location | 10121 Pine Ave, Truckee, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154711836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A151834 (California) | Secondary |
| 207L00000X | Anesthesiology | A151834 (California) | Primary |
| Entity Name | Tahoe Forest Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750412300 PECOS PAC ID: 0446161335 Enrollment ID: O20050329001397 |
| Entity Name | Tahoe Forest Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1538265780 PECOS PAC ID: 0446161335 Enrollment ID: O20080409000581 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Marie Dejong, MD 10 Arch St Apt 204, Redwood City, CA 94062-1402 Ph: (510) 307-6773 | Ellen Marie Dejong, MD 10121 Pine Ave, Truckee, CA 96161-4856 Ph: (510) 307-6773 |
Thomas Andrew Luscomb, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10121 Pine Ave, Truckee, CA 96161 Phone: 530-587-6011 | |
Ricki A Alpert, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10121 Pine Ave, Truckee, CA 96161 Phone: 530-587-6011 | |
Tenille Bany, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10121 Pine Ave, Truckee, CA 96161 Phone: 530-587-6011 | |
Alar Saaremets, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10121 Pine Ave, Truckee, CA 96161 Phone: 530-672-6011 | |
Thomas C Specht, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 10121 Pine Ave, Truckee, CA 96161 Phone: 530-587-6011 | |
Ms. Erin Ann Zurflu, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10121 Pine Ave, Truckee, CA 96161 Phone: 530-587-6011 | |
Bradley Jonathan Thomas, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10121 Pine Ave, Truckee, CA 96161 Phone: 530-587-6011 |