Dennard W Ellison, MD is a medicare enrolled "Otolaryngology" physician in Alamosa, Colorado. 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 | |
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| Experience | 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 in
NPI Data:
- NPI Number: 1285728659
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 05/05/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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