| William N Elledge, MD | |
|
111 Tumwater Blvd Se Ste A302, Tumwater, WA 98501-6400 | |
| (360) 839-2122 | |
| Not Available |
| Full Name | William N Elledge |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 111 Tumwater Blvd Se Ste A302, Tumwater, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851333082 | NPI | - | NPPES |
| 1517200 | Medicaid | WA | |
| 62142 | Other | WA | L&I |
| T00131 | Other | WA | REGENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD00012053 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| William N Elledge, MD 111 Tumwater Blvd Se Ste A302, Tumwater, WA 98501-6400 Ph: (360) 628-1119 | William N Elledge, MD 111 Tumwater Blvd Se Ste A302, Tumwater, WA 98501-6400 Ph: (360) 839-2122 |
Dr. Jason David Fodeman, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7273 Linderson Way Sw, Tumwater, WA 98501 Phone: 360-902-5511 | |
Dennis Charles Koukol, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6737 Capitol Blvd Sw Bldg 2, Tumwater, WA 98501 Phone: 800-562-6074 Fax: 833-656-1248 | |
Dr. Grant E Deger, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7345 Linderson Way Sw, Tumwater, WA 98501 Phone: 360-725-8700 Fax: 360-586-9060 |