| 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 |
| 2041412 | Medicaid | WA | |
| 00120845 | Medicaid | MS | |
| 1427066083 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 16492 (Mississippi) | Secondary |
| 207R00000X | Internal Medicine | MD00029906 (Washington) | Primary |
| Entity Name | Catholic Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427154335 PECOS PAC ID: 6103897129 Enrollment ID: O20040803001720 |
| 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: Accepting Medicare Assignments Practice Location: 406 S 30th Ave Ste 101, Yakima, WA 98902 Phone: 509-248-7715 |
Edwin Llamas, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 602 E Nob Hill Blvd, Yakima, WA 98901 Phone: 509-248-3334 |