Dr David Paul Ellis, MD, MBA is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Sheldon, Iowa. He went to Oregon Health Sciences University School Of Medicine and graduated in 1977 and has 47 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Sanford Clinic, Sanford Medical Center and his current practice location is
118 N 7th Ave, Sheldon, Iowa. You can reach out to his office (for appointments etc.) via phone at
(712) 324-6366.
Dr David Paul Ellis is licensed to practice in Iowa (license number 39413) 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 1659411080.
Physician's Profile
| Full Name | Dr David Paul Ellis |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 47 Years |
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| Location | 118 N 7th Ave, Sheldon, Iowa |
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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:
- Dr David Paul Ellis attended and graduated from Oregon Health Sciences University School Of Medicine in 1977
NPI Data:
- NPI Number: 1659411080
- Provider Enumeration Date: 02/07/2007
- Last Update Date: 12/19/2011
Medicare PECOS Information:
- PECOS PAC ID: 6507962560
- Enrollment ID: I20120111000252
Medical Identifiers
Medical identifiers for Dr David Paul Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659411080 | NPI | - | NPPES |
| 24372020 | Other | WI | MEDICAL LICENSE |
| 23836 | Other | AZ | MEDICAL LICENSE |
| 435448000 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 24372020 (Wisconsin) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 51095 (Minnesota) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 7936 (South Dakota) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 39413 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sanford Clinic | 0244143824 | 228 |
| Sanford Medical Center | 8325950215 | 717 |
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 David Paul Ellis allows following entities to bill medicare on his behalf.
| Entity Name | Sanford Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396764254
PECOS PAC ID: 0244143824
Enrollment ID: O20031110000532 |
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| Entity Name | Sanford Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821017880
PECOS PAC ID: 8325950215
Enrollment ID: O20040115000388 |
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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. Dr David Paul Ellis 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 David Paul Ellis, MD, MBA
Po Box 5074,
Sioux Falls, SD 57117-5074
Ph: () - | Dr David Paul Ellis, MD, MBA
118 N 7th Ave,
Sheldon, IA 51201-1235
Ph: (712) 324-6366 |
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