Jenny Eldredge (NPI# 1164804647, PAC ID# 6406165547) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1164804647 |
| PAC ID by PECOS | 6406165547 |
| Professional Enrollment ID | I20151012002329 |
| Full Name | Jenny Eldredge |
| Organization Legal Name | SOUTHWEST WASHINGTON MEDICAL GROUP PS |
| Address |
505 Ne 87th Ave Vancouver WA 98664-1965 |
| Gender | F |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8820178288 |
| Number of Group Practice Members | 108 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500050 | PEACEHEALTH SOUTHWEST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 505 Ne 87th Ave, Vancouver, WA 98664-1965 | SOUTHWEST WASHINGTON MEDICAL GROUP PS | |
| 8821 Ne 5th St, Vancouver, WA 98664-3200 | 3605141900 | SOUTHWEST WASHINGTON MEDICAL GROUP PS |
| Organization Legal Name | SOUTHWEST WASHINGTON MEDICAL GROUP PS |
| Physicians | 103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea J King | General Surgery | Southwest Washington Medical Group Ps | 500 Ne 87th Ave, Suite 301, Vancouver, WA 98664-1910 |
| Heather M Bergstrom Falendysz | Family Medicine | Southwest Washington Medical Group Ps | 16811 Se Mcgillivray Blvd, Vancouver, WA 98683-3404 |
| Gurpreet K Dhaliwal | Obstetrics/gynecology | Southwest Washington Medical Group Ps | 8821 Ne 5th St, Vancouver, WA 98664-3200 |
| Adam L Rasky | Ophthalmology | Southwest Washington Medical Group Ps | 505 Ne 87th Ave, Vancouver, WA 98664-1965 |
| Kendra M Bray | Physician Assistant | Southwest Washington Medical Group Ps | 505 Ne 87th Ave, Vancouver, WA 98664-1965 |
| Joy M Erickson | Physician Assistant | Southwest Washington Medical Group Ps | 505 Ne 87th Ave, Vancouver, WA 98664-1965 |
| Janice M Koehler | Physician Assistant | Southwest Washington Medical Group Ps | 505 Ne 87th Ave, Vancouver, WA 98664-1965 |
| Faisal A Siddiqui | Radiation Oncology | Southwest Washington Medical Group Ps | 505 Ne 87th Ave, Vancouver, WA 98664-1965 |
| Jeannette S Flammang | Family Medicine | Southwest Washington Medical Group Ps | 505 Ne 87th Ave, Vancouver, WA 98664-1965 |
| Christopher B Wheelock | Family Medicine | Southwest Washington Medical Group Ps | 505 Ne 87th Ave, Vancouver, WA 98664-1965 |
| Street Address |
505 NE 87TH AVE |
| City | VANCOUVER |
| State | WA |
| Zip | 98664-1965 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam L Rasky | Ophthalmology | Southwest Washington Medical Group Ps | 505 Ne 87th Ave, Vancouver, WA 98664-1965 |
| Kendra M Bray | Physician Assistant | Southwest Washington Medical Group Ps | 505 Ne 87th Ave, Vancouver, WA 98664-1965 |
| Joy M Erickson | Physician Assistant | Southwest Washington Medical Group Ps | 505 Ne 87th Ave, Vancouver, WA 98664-1965 |
| Janice M Koehler | Physician Assistant | Southwest Washington Medical Group Ps | 505 Ne 87th Ave, Vancouver, WA 98664-1965 |
| Faisal A Siddiqui | Radiation Oncology | Southwest Washington Medical Group Ps | 505 Ne 87th Ave, Vancouver, WA 98664-1965 |
| Jeannette S Flammang | Family Medicine | Southwest Washington Medical Group Ps | 505 Ne 87th Ave, Vancouver, WA 98664-1965 |
| Christopher B Wheelock | Family Medicine | Southwest Washington Medical Group Ps | 505 Ne 87th Ave, Vancouver, WA 98664-1965 |
| Richard A Bernheimer | Ophthalmology | Southwest Washington Medical Group Ps | 505 Ne 87th Ave, Vancouver, WA 98664-1965 |
| Andrea C Pertoso | Physician Assistant | Southwest Washington Medical Group Ps | 505 Ne 87th Ave, Vancouver, WA 98664-1965 |
| Anne Okerson | Optometry | Southwest Washington Medical Group Ps | 505 Ne 87th Ave, Vancouver, WA 98664-1965 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen W Kormanyos | Hospitalist | South Sound Inpatient Physicians Pllc | 400 Nemother Jos Pl, Vancouver, WA 98664 |
| Eric W Vogelzang | Chiropractic | 7317 E Mill Plain Blvd, Vancouver, WA 98664-1300 | |
| Richard T Kubiniec | Obstetrics/gynecology | Sea-mar Community Health Center | 7410 Delaware Ln, Vancouver, WA 98664-1408 |
| Lindsey Campbell | Nurse Practitioner | Sea-mar Community Health Center | 7410 Delaware Ln, Vancouver, WA 98664-1408 |
| Shane D Dunaway | Family Medicine | Sea-mar Community Health Center | 7410 Delaware Ln, Vancouver, WA 98664-1408 |
| Jennifer M Goaring | Certified Nurse Midwife (cnm) | Sea-mar Community Health Center | 7410 Delaware Ln, Vancouver, WA 98664-1408 |
| Amanda C Kerber | Nurse Practitioner | Sea-mar Community Health Center | 7410 Delaware Ln, Vancouver, WA 98664-1408 |
| Homayoun Akhavan Saraf | Obstetrics/gynecology | Sea-mar Community Health Center | 7410 Delaware Ln, Vancouver, WA 98664-1408 |
| Patricia M Frew | Family Medicine | Sea-mar Community Health Center | 7410 Delaware Ln, Vancouver, WA 98664-1408 |
| Krista F Roscoe | Nurse Practitioner | Sea-mar Community Health Center | 7410 Delaware Ln, Vancouver, WA 98664-1408 |
| Find all physicians in zip 98664 | |||
| City | VANCOUVER |
| Zip Code | 98664 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | VANCOUVER + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jenny Eldredge.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.