Dr Brad E Ellisor, DC is a medicare enrolled "Chiropractor" provider in Tenino, Washington. He went to Life Chiropractic College - West and graduated in 2004 and has 20 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Canyon Crossing Chiropractic Ps and his current practice location is
448 Sussex Ave E, #3, Tenino, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 264-5999.
Dr Brad E Ellisor is licensed to practice in Washington (license number CH00034631) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1538333182.
Healthcare Provider's Profile
| Full Name | Dr Brad E Ellisor |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 20 Years |
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| Location | 448 Sussex Ave E, Tenino, Washington |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Brad E Ellisor attended and graduated from Life Chiropractic College - West in 2004
NPI Data:
- NPI Number: 1538333182
- Provider Enumeration Date: 04/15/2008
- Last Update Date: 07/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 8628104445
- Enrollment ID: I20100331000992
Medical Identifiers
Medical identifiers for Dr Brad E Ellisor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538333182 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | CH00034631 (Washington) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Brad E Ellisor allows following entities to bill medicare on his behalf.
| Provider Name | Natural Wellness Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1831458124
PECOS PAC ID: 9133370984
Enrollment ID: O20121105000071 |
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| Provider Name | Canyon Crossing Chiropractic Ps |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1659741858
PECOS PAC ID: 0143530998
Enrollment ID: O20151105002270 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Brad E Ellisor is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Brad E Ellisor, DC
Po Box 14,
Tenino, WA 98589-0014
Ph: (360) 481-0300 | Dr Brad E Ellisor, DC
448 Sussex Ave E, #3,
Tenino, WA 98589-8703
Ph: (360) 264-5999 |
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