Dr Ellen E Im, MD - Medicare Internal Medicine in Wright Patterson Afb, OH

Dr Ellen E Im, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Wright Patterson Afb, Ohio. Her current practice location is 4881 Sugar Maple Dr, Nephrology Clinic, Wright Patterson Afb, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 257-9911.

Dr Ellen E Im is licensed to practice in Virginia (license number 0101246440) 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 1881854834.

Contact Information

Dr Ellen E Im, MD
4881 Sugar Maple Dr, Nephrology Clinic,
Wright Patterson Afb, OH 45433-5529
(937) 257-9911
Not Available

Map and Direction




Physician's Profile

Full NameDr Ellen E Im
GenderFemale
SpecialityInternal Medicine - Nephrology
Location4881 Sugar Maple Dr, Wright Patterson Afb, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881854834
  • Provider Enumeration Date: 06/12/2008
  • Last Update Date: 07/17/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 7012232226
  • Enrollment ID: I20150211000279

Medical Identifiers

Medical identifiers for Dr Ellen E Im such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881854834NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 0101246440 (Virginia)Primary
207R00000XInternal Medicine 0101246440 (Virginia)Secondary

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 Ellen E Im 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 AddressPractice Location Address
Dr Ellen E Im, MD
4881 Sugar Maple Dr, Nephrology Clinic,
Wright Patterson Afb, OH 45433-5529

Ph: (937) 257-9911
Dr Ellen E Im, MD
4881 Sugar Maple Dr, Nephrology Clinic,
Wright Patterson Afb, OH 45433-5529

Ph: (937) 257-9911

Reviews and Comments


Internal Medicine Doctors in Wright Patterson Afb, OH

Dr. Amy Lynn-jacobson Schimke, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 4881 Sugar Maple Dr, 88 Mdos/sgomc, Wright Patterson Afb, OH 45433
Phone: 937-257-1764    Fax: 937-257-1819
Dr. Amy Gammill Hicks, MD
Nephrology
Medicare: Medicare Enrolled
Practice Location: 2510 5th St, Usafsam/feci, Wright Patterson Afb, OH 45433
Phone: 937-938-2755    
Dr. John Patrick Mitchell, M.D.
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 4881 Sugar Maple Dr, Mdos/sgo, Wright Patterson Afb, OH 45433
Phone: 937-257-9145    Fax: 937-656-1830
Dr. Gregory James Haack, MD
Nephrology
Medicare: Medicare Enrolled
Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433
Phone: 937-257-9926    
Dr. Samuel Raymond Theis, DO
Nephrology
Medicare: Medicare Enrolled
Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433
Phone: 937-257-1770    
Dr. Brittaini Danielle Bunce, DO
Nephrology
Medicare: Medicare Enrolled
Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433
Phone: 937-257-0837    
Dr. Cody Lee Hedrick,
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433
Phone: 937-257-0837    Fax: 937-208-8828

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.