Ellen Michelle Provost, DO - Medicare Internal Medicine in Anchorage, AK

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Ellen Michelle Provost, DO is a medicare enrolled "Internal Medicine" physician in Anchorage, Alaska. Her current practice location is 4315 Diplomacy Dr, Anchorage, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 729-1500.

Ellen Michelle Provost is licensed to practice in Alaska (license number 2717) 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 1053344572.

Contact Information

Ellen Michelle Provost, DO
4315 Diplomacy Dr,
Anchorage, AK 99508-5926
(907) 729-1500
(907) 729-2082

Map and Direction




Physician's Profile

Full NameEllen Michelle Provost
GenderFemale
SpecialityInternal Medicine
Location4315 Diplomacy Dr, Anchorage, Alaska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053344572
  • Provider Enumeration Date: 07/08/2006
  • Last Update Date: 10/17/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 8820010192
  • Enrollment ID: I20060418000480

Medical Identifiers

Medical identifiers for Ellen Michelle Provost such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053344572NPI-NPPES
MD27172MedicaidAK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 2717 (Alaska)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. Ellen Michelle Provost allows following entities to bill medicare on her behalf.
Entity NameAlaska Native Tribal Health Consortium
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437189339
PECOS PAC ID: 6709780265
Enrollment ID: O20031125000772

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 Michelle Provost 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
Ellen Michelle Provost, DO
4315 Diplomacy Dr,
Anchorage, AK 99508-5926

Ph: (907) 729-1500		Ellen Michelle Provost, DO
4315 Diplomacy Dr,
Anchorage, AK 99508-5926

Ph: (907) 729-1500

Reviews and Comments


Internal Medicine Doctors in Anchorage, AK

Andrea Caballero, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3220 Providence Dr Ste E3-080, Anchorage, AK 99508
Phone: 907-375-8785    Fax: 907-375-8788
Daryl M. Mcclendon, M.D., P.C.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3851 Piper Street, Suite U466, Anchorage, AK 99508
Phone: 907-569-1333    Fax: 907-569-1433
Dr. Loretta Leih-sheng Lee, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4001 Dale St, Suite 210, Anchorage, AK 99508
Phone: 907-929-5880    Fax: 907-929-5882
Dr. Richard Merle Farleigh, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4120 Laurel St, Suite 202, Anchorage, AK 99508
Phone: 907-561-4293    
Alexis Leandro Delgado, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4300 B St, Suite 200, Anchorage, AK 99503
Phone: 907-375-3355    Fax: 907-375-3351
Geronimo Sahagun, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2841 Debarr Road, Suite 50, Anchorage, AK 99508
Phone: 907-276-2811    Fax: 907-276-2810
Josiah Nathan Brown, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 3841 Piper St Ste T100, Anchorage, AK 99508
Phone: 907-561-3211    Fax: 907-561-4652

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.