Dr Wladislaw V Ellis, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Grass Valley, California. He went to University Of California, Geffen School Of Medicine and graduated in 1970 and has 54 years of diverse experience with area of expertise as Interventional Pain Management. His current practice location is
13847 Mallory Ct, Grass Valley, California. You can reach out to his office (for appointments etc.) via phone at
(510) 849-4703.
Dr Wladislaw V Ellis is licensed to practice in California (license number A24351) 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 1992702039.
Physician's Profile
Full Name | Dr Wladislaw V Ellis |
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Gender | Male |
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Speciality | Interventional Pain Management |
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Experience | 54 Years |
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Location | 13847 Mallory Ct, Grass Valley, California |
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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. |
Medical Education and Training:
- Dr Wladislaw V Ellis attended and graduated from University Of California, Geffen School Of Medicine in 1970
NPI Data:
- NPI Number: 1992702039
- Provider Enumeration Date: 07/05/2005
- Last Update Date: 11/16/2018
Medicare PECOS Information:
- PECOS PAC ID: 6204934102
- Enrollment ID: I20070530000508
Medical Identifiers
Medical identifiers for Dr Wladislaw V Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992702039 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208VP0014X | Pain Medicine - Interventional Pain Medicine | A24351 (California) | 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. Dr Wladislaw V 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 Wladislaw V Ellis, MD 13847 Mallory Ct, Grass Valley, CA 95949-7658 Ph: (510) 849-4703 | Dr Wladislaw V Ellis, MD 13847 Mallory Ct, Grass Valley, CA 95949 Ph: (510) 849-4703 |
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