Dr Derek Ellingson, DO in Fort Wayne, IN

Dr Derek Ellingson, DO is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Fort Wayne, Indiana. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Associated Pathologists Llc and his current practice location is 7950 W Jefferson Blvd, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 435-7001.

Dr Derek Ellingson is licensed to practice in Indiana (license number 02006527A) 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 1487848644.

Contact Information

	Dr Derek Ellingson, DO
	7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140
	(260) 435-7001
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Derek Ellingson
Gender	Male
Speciality	Pathology
Experience	17 Years
Location	7950 W Jefferson Blvd, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Derek Ellingson graduated from medical school in 2007

NPI Data:

NPI Number: 1487848644
Provider Enumeration Date: 08/30/2007
Last Update Date: 08/25/2021

Medicare PECOS Information:

PECOS PAC ID: 7012134034
Enrollment ID: I20210826001070

Medical Identifiers

Medical identifiers for Dr Derek Ellingson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487848644	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	DO05260 (Iowa)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	MEDO7423 (Alaska)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	2007018750 (Missouri)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	02006527A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lutheran Hospital Of Indiana	Fort wayne, IN	Hospital
Dupont Hospital Llc	Fort wayne, IN	Hospital
Kosciusko Community Hospital	Warsaw, IN	Hospital
Adams Memorial Hospital	Decatur, IN	Hospital
St Joseph Hospital	Fort wayne, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Associated Pathologists Llc	0648167544	97

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 Derek Ellingson allows following entities to bill medicare on his behalf.

Entity Name	Associated Pathologists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003863580 PECOS PAC ID: 0648167544 Enrollment ID: O20070716000207

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 Derek Ellingson 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
Dr Derek Ellingson, DO 1010 Airpark Center Dr, Nashville, TN 37217-5200 Ph: (615) 221-4400	Dr Derek Ellingson, DO 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 Ph: (260) 435-7001

Reviews and Comments

Pathology Doctors in Fort Wayne, IN

Dr. Vedran Uschuplich, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805 Phone: 260-426-5431
Hassan Arekemase, MD Pathology Medicare: Medicare Enrolled Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-1000
Dr. Sisira Ranasinghe, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 228d E Collins Rd, Fort Wayne, IN 46825 Phone: 260-471-7675 Fax: 260-471-0701
Shujuan Liu, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-1000 Fax: 260-422-0077
Jeffrey P Squires, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7154 Fax: 260-435-7633
Dr. Rohit Inder Singh, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-1000
Kanwaranoop Singh Kainaur, MD Pathology Medicare: Medicare Enrolled Practice Location: 11109 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-266-1000

Dr Derek Ellingson, DO - Medicare Pathology in Fort Wayne, IN