Jeffrey Clark Ernst, MD | |
23511 56th Ave W Ste 105, Mountlake Terrace, WA 98043-5285 | |
(206) 546-2421 | |
(206) 542-9028 |
Full Name | Jeffrey Clark Ernst |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 23511 56th Ave W Ste 105, Mountlake Terrace, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790721736 | NPI | - | NPPES |
8253270 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 38513 (Washington) | Primary |
Entity Name | Richmond Pediatric Clinic Inc Ps |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114962446 PECOS PAC ID: 3173845989 Enrollment ID: O20141205001787 |
Entity Name | Umbrella Pediatrics Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720772387 PECOS PAC ID: 4688018542 Enrollment ID: O20240319002615 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Clark Ernst, MD 23511 56th Ave W Ste 105, Mountlake Terrace, WA 98043-5285 Ph: (206) 546-2421 | Jeffrey Clark Ernst, MD 23511 56th Ave W Ste 105, Mountlake Terrace, WA 98043-5285 Ph: (206) 546-2421 |
Melissa Cecilia Walsh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 23511 56th Ave W Ste 105, Mountlake Terrace, WA 98043 Phone: 206-546-2421 | |
Shayna Danielle Herns, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 23511 56th Ave W Ste 105, Mountlake Terrace, WA 98043 Phone: 206-546-2421 | |
Giselle Falkenberg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 23511 56th Ave W Ste 105, Mountlake Terrace, WA 98043 Phone: 206-546-2421 |