Dennard W Ellison, MD is a medicare enrolled "Otolaryngology" physician in Alamosa, Colorado. He went to University Of Florida College Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Parkview Ancillary Services Corporation, Lutheran Hospital Association Of The San Luis Valley and his current practice location is
106 Blanca Ave, San Luis Valley Regional Medical Center, Alamosa, Colorado. You can reach out to his office (for appointments etc.) via phone at
(719) 589-8025.
Dennard W Ellison is licensed to practice in Colorado (license number 48628) 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 1285728659.
Physician's Profile
| Full Name | Dennard W Ellison |
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| Gender | Male |
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| Speciality | Allergy/immunology |
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| Experience | 38 Years |
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| Location | 106 Blanca Ave, Alamosa, Colorado |
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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:
- Dennard W Ellison attended and graduated from University Of Florida College Of Medicine in 1986
NPI Data:
- NPI Number: 1285728659
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 05/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 0244371128
- Enrollment ID: I20100614000085
Medical Identifiers
Medical identifiers for Dennard W Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285728659 | NPI | - | NPPES |
| COA100184 | Other | CO | MEDICARE PTAN |
| 00182257 | Medicaid | CO | |
| 52787761 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 20020441 (New Mexico) | Secondary |
| 207Y00000X | Otolaryngology | 48628 (Colorado) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Parkview Ancillary Services Corporation | 4385722511 | 265 |
| Lutheran Hospital Association Of The San Luis Valley | 4789589094 | 100 |
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. Dennard W Ellison allows following entities to bill medicare on his behalf.
| Entity Name | Lutheran Hospital Association Of The San Luis Valley |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235181744
PECOS PAC ID: 4789589094
Enrollment ID: O20031201000318 |
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| Entity Name | Parkview Ancillary Services Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982878765
PECOS PAC ID: 4385722511
Enrollment ID: O20080429000248 |
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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. Dennard W Ellison 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 |
|---|
Dennard W Ellison, MD
106 Blanca Ave, San Luis Valley Regional Medical Center,
Alamosa, CO 81101-2340
Ph: (719) 589-8025 | Dennard W Ellison, MD
106 Blanca Ave, San Luis Valley Regional Medical Center,
Alamosa, CO 81101-2340
Ph: (719) 589-8025 |
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