| 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 |