Ellen Deconinck, MD in Mountain View, CA

Ellen Deconinck, MD is a medicare enrolled "Dermatology" physician in Mountain View, California. She went to Stanford University School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Sutter Bay Medical Foundation and her current practice location is 701 E El Camino Real, Mountain View, California. You can reach out to her office (for appointments etc.) via phone at (650) 934-7676.

Ellen Deconinck is licensed to practice in California (license number A79762) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114977865.

Contact Information

	Ellen Deconinck, MD
	701 E El Camino Real, Mountain View, CA 94040-2833
	(650) 934-7676
	Not Available

Map and Direction

Physician's Profile

Full Name	Ellen Deconinck
Gender	Female
Speciality	Dermatology
Experience	23 Years
Location	701 E El Camino Real, Mountain View, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ellen Deconinck attended and graduated from Stanford University School Of Medicine in 2001

NPI Data:

NPI Number: 1114977865
Provider Enumeration Date: 05/12/2006
Last Update Date: 11/30/2011

Medicare PECOS Information:

PECOS PAC ID: 2163454604
Enrollment ID: I20050906001038

Medical Identifiers

Medical identifiers for Ellen Deconinck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114977865	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	A79762 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sutter Bay Medical Foundation	4284538778	2995

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. Ellen Deconinck allows following entities to bill medicare on her behalf.

Entity Name	Sutter Bay Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909

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. Ellen Deconinck 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
Ellen Deconinck, MD 2350 W El Camino Real, 2nd Floor, Mountain View, CA 94040-6203 Ph: () -	Ellen Deconinck, MD 701 E El Camino Real, Mountain View, CA 94040-2833 Ph: (650) 934-7676

Reviews and Comments

Dermatology Doctors in Mountain View, CA

Naomi Amanda So, MD Dermatology Medicare: Medicare Enrolled Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7676
Dr. Duke Trinh Khuu, MD FAAD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 889 Castro St, Mountain View, CA 94041 Phone: 650-969-5488 Fax: 650-969-7546
Faud Abuabara, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7676
Jane R Snyder, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7676
Amit G Pandya, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7676
Andrew B Menkes, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2490 Hospital Drive, Suite 201, Mountain View, CA 94040 Phone: 650-962-4600 Fax: 650-962-4601

Ellen Deconinck, MD - Medicare Dermatology in Mountain View, CA