Tanja Lu Todd-kellum, MD | |
915 Anderson Dr, Aberdeen, WA 98520-1006 | |
(360) 537-8330 | |
Not Available |
Full Name | Tanja Lu Todd-kellum |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 915 Anderson Dr, Aberdeen, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295814861 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | MD61015265 (Washington) | Secondary |
207V00000X | Obstetrics & Gynecology | 12168 (Tennessee) | Primary |
Entity Name | Wellmont Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909 |
Mailing Address | Practice Location Address |
---|---|
Tanja Lu Todd-kellum, MD 7516 Capital Dr, Germantown, TN 38138 Ph: (901) 753-4200 | Tanja Lu Todd-kellum, MD 915 Anderson Dr, Aberdeen, WA 98520-1006 Ph: (360) 537-8330 |
John M Rees, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1020 Anderson Dr Ste 202, Aberdeen, WA 98520 Phone: 360-533-5000 Fax: 360-533-0572 | |
William E. Kilgore Ii, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1020 Anderson Dr Ste 202, Aberdeen, WA 98520 Phone: 360-533-5000 Fax: 360-533-0572 |