| Thomas Lee Ellingson, MD | |
| 
					1806 W Lincoln Ave, Yakima, WA 98902-2473  | |
| (509) 452-4520 | |
| (509) 452-5224 | 
| Full Name | Thomas Lee Ellingson | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | 1806 W Lincoln Ave, Yakima, Washington | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1427066083 | NPI | - | NPPES | 
| 00120845 | Medicaid | MS | |
| 2041412 | Medicaid | WA | |
| 1427066083 | Medicaid | WA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 16492 (Mississippi) | Secondary | 
| 207R00000X | Internal Medicine | MD00029906 (Washington) | Primary | 
| Entity Name | Kittitas County Public Hospital Dist 1 | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1356375307 PECOS PAC ID: 0547179608 Enrollment ID: O20040213000046  | 
| Entity Name | Community Health Of Central Washington | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1598764920 PECOS PAC ID: 4183536931 Enrollment ID: O20040414000807  | 
| Entity Name | Washington Emergency Physician Partners Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1346586351 PECOS PAC ID: 5092951814 Enrollment ID: O20130424000635  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Thomas Lee Ellingson, MD 501 S 5th Ave, Yakima, WA 98902-3550 Ph: (509) 494-6700  | Thomas Lee Ellingson, MD 1806 W Lincoln Ave, Yakima, WA 98902-2473 Ph: (509) 452-4520  | 
Daniel Doornink,  Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 602 E Nob Hill Blvd, Yakima, WA 98901 Phone: 509-248-3334 Fax: 509-453-6144  | |
Robert M Williams, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3909 Creekside Loop, Suite 130, Yakima, WA 98902 Phone: 509-248-6616 Fax: 509-248-4983  | |
Erik Albert Monick, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 406 S 30th Ave, Suite 101, Yakima, WA 98902 Phone: 509-248-7715  | |
George J Hotchko, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3003 Tieton Dr, Suite 320, Yakima, WA 98902 Phone: 509-452-3765 Fax: 509-452-3435  | |
Sajal Kumar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 Holton Ave, Suite 100, Yakima, WA 98902 Phone: 509-248-6292 Fax: 509-248-9134  | |
Dr. Rachana Mandru, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 406 S 30th Ave Ste 101, Yakima, WA 98902 Phone: 509-248-7715  | |
Edwin Llamas,  Internal Medicine Medicare: Medicare Enrolled Practice Location: 602 E Nob Hill Blvd, Yakima, WA 98901 Phone: 509-248-3334  |