| Ellen Ouellette, MD | |
|
Cedar Hills Road & Az 264, Ganado, AZ 86505 | |
| (928) 755-4500 | |
| (928) 755-4659 |
| Full Name | Ellen Ouellette |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 8 Years |
| Location | Cedar Hills Road & Az 264, Ganado, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144719048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 79194 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Cross Hospital A Div Of Taos Health Systems | Taos, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Taos Professional Services,llc | 6507019924 | 20 |
| Entity Name | Taos Health Systems Inc Holy Cross Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194751958 PECOS PAC ID: 8224937412 Enrollment ID: O20040107000398 |
| Entity Name | Taos Professional Services,llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891070777 PECOS PAC ID: 6507019924 Enrollment ID: O20130116000178 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Ouellette, MD Us 191 And Az 264, Ganado, AZ 87571-6282 Ph: (928) 755-4500 | Ellen Ouellette, MD Cedar Hills Road & Az 264, Ganado, AZ 86505 Ph: (928) 755-4500 |
Dr. Takur George Buck, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Po Box 457, Ganado, AZ 86505 Phone: 928-755-4500 | |
Dr. Matthew Nelson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Us 191 & Az 264, Ganado, AZ 86505 Phone: 928-755-4632 Fax: 928-755-4831 |