Dr Diane Elizabeth Ellis, MD in Salt Lake City, UT - Medicare Obstetrics & Gynecology

Dr Diane Elizabeth Ellis, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Salt Lake City, Utah. Her current practice location is 461 S 400 E, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 539-8617.

Dr Diane Elizabeth Ellis is licensed to practice in Utah (license number 365485-1205) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1447448865.

Contact Information

	Dr Diane Elizabeth Ellis, MD
	461 S 400 E, Salt Lake City, UT 84111-3302
	(801) 539-8617
	(801) 537-7238

Map and Direction

Physician's Profile

Full Name	Dr Diane Elizabeth Ellis
Gender	Female
Speciality	Obstetrics & Gynecology
Location	461 S 400 E, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447448865
Provider Enumeration Date: 10/10/2007
Last Update Date: 09/09/2021

Medicare PECOS Information:

PECOS PAC ID: 3779670054
Enrollment ID: I20160628000908

Medical Identifiers

Medical identifiers for Dr Diane Elizabeth Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447448865	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	365485-1205 (Utah)	Primary

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 Diane Elizabeth Ellis allows following entities to bill medicare on her behalf.

Entity Name	South Peninsula Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679566269 PECOS PAC ID: 5395636930 Enrollment ID: O20040323000583

Entity Name	Anchorage Women's Clinic At Providence Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265496061 PECOS PAC ID: 9032102124 Enrollment ID: O20040405001651

Entity Name	Obhg Alaska Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740697069 PECOS PAC ID: 7113233834 Enrollment ID: O20150826000621

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 Diane Elizabeth 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 Diane Elizabeth Ellis, MD 1798 S West Temple, A-100, Salt Lake City, UT 84115-1869 Ph: (801) 412-6920	Dr Diane Elizabeth Ellis, MD 461 S 400 E, Salt Lake City, UT 84111-3302 Ph: (801) 539-8617

Reviews and Comments

Obstetrics & Gynecology Doctors in Salt Lake City, UT

Virginia Jean Homewood, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3336 S 4155 W, Ste 301, Salt Lake City, UT 84120 Phone: 801-964-3865 Fax: 801-964-3894
Alexandra L. Woodcock, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 2a200, Salt Lake City, UT 84132 Phone: 801-213-3716
Lillian B. Boettcher, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 2b200, Salt Lake City, UT 84132 Phone: 801-581-7647
Patricia Bearnson, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4465 S 900 E Ste 275, Salt Lake City, UT 84124 Phone: 801-272-6100 Fax: 801-272-6101
Eric C Nielson, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1220 East 3900 South, Suite 3e, Salt Lake City, UT 84124 Phone: 801-685-7188 Fax: 801-685-8116
Susan T Horvath, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1140 E 3900 S Ste 400, Salt Lake City, UT 84124 Phone: 801-262-8666 Fax: 801-263-8821
Carolyn Weaver Swenson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-213-2995

Dr Diane Elizabeth Ellis, MD - Medicare Obstetrics & Gynecology in Salt Lake City, UT