Dr Clinton Ellingson, MD | |
2100 Providence Way, Idaho Falls, ID 83404-4951 | |
(208) 529-6600 | |
(208) 529-6602 |
Full Name | Dr Clinton Ellingson |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 13 Years |
Location | 2100 Providence Way, Idaho Falls, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326332776 | NPI | - | NPPES |
1326332776 | Medicaid | WV | |
0160321 | Medicaid | OH | |
1326332776 | Medicaid | ID | |
7100279250 | Medicaid | KY | |
300021246 | Medicaid | IN |
Facility Name | Location | Facility Type |
---|---|---|
Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Talley Medical-surgical Eye Care Associates Pc | 3779551122 | 10 |
Talley Medical-surgical Eye Care Associates Pc | 3779551122 | 10 |
Premier Eye Care Of Eastern Idaho | 2466611744 | 7 |
Premier Eye Care Of Eastern Idaho | 2466611744 | 7 |
Entity Name | Talley Medical-surgical Eye Care Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154319143 PECOS PAC ID: 3779551122 Enrollment ID: O20050414001002 |
Mailing Address | Practice Location Address |
---|---|
Dr Clinton Ellingson, MD 2100 Providence Way, Idaho Falls, ID 83404-4951 Ph: (208) 529-6600 | Dr Clinton Ellingson, MD 2100 Providence Way, Idaho Falls, ID 83404-4951 Ph: (208) 529-6600 |
Matthew P Traynor, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2100 Providence Way, Idaho Falls, ID 83404 Phone: 208-529-6600 Fax: 208-529-6602 | |
Dr. Kenneth W Turley, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2025 E 17th St, Idaho Falls, ID 83404 Phone: 208-524-2025 Fax: 208-529-1924 | |
Dr. Gary Wayne Wallace, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2295 Coronado Street, Idaho Falls, ID 83404 Phone: 208-524-8600 Fax: 208-524-8394 | |
David Ray Anderson, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 530 S Holmes, Idaho Falls, ID 83403 Phone: 208-529-3937 Fax: 208-524-4380 | |
Dr. Bradley P Gardner, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2025 E 17th St, Idaho Falls, ID 83404 Phone: 208-524-2025 Fax: 208-529-1924 | |
Mr. Peter Carl Zimmerman, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1449 E 17th Street, Idaho Falls, ID 83404 Phone: 208-529-6600 Fax: 208-529-6603 |