Amy Ellingson, MD is a
Student In An Organized Health Care Education/training Program physician based in Minneapolis, Minnesota. Amy Ellingson is licensed to practice in * (Not Available) (license number ) and her current practice location is 2220 Plymouth Ave N, Minneapolis, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 543-2500.
NPI number for Amy Ellingson is 1154950483 and her current mailing address is 2220 Plymouth Ave N, Minneapolis, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154950483.
Physician's Profile
Full Name | Amy Ellingson |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2220 Plymouth Ave N, Minneapolis, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154950483
- Provider Enumeration Date: 04/07/2020
- Last Update Date: 12/07/2023
Medical Identifiers
Medical identifiers for Amy Ellingson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154950483 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 71609 (Minnesota) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Amy Ellingson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amy Ellingson, MD 2220 Plymouth Ave N, Minneapolis, MN 55411-3600 Ph: (612) 543-2500 | Amy Ellingson, MD 2220 Plymouth Ave N, Minneapolis, MN 55411-3600 Ph: (612) 543-2500 |
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