Ellendee Pepper, MD in Renton, WA - Medicare Dermatology

Ellendee Pepper, MD is a medicare enrolled "Dermatology" physician in Renton, Washington. Her current practice location is 660 Sw 39th St, Ste 150, Renton, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 793-4700.

Ellendee Pepper is licensed to practice in Washington (license number MD00022801) 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 1861577223.

Contact Information

	Ellendee Pepper, MD
	660 Sw 39th St, Ste 150, Renton, WA 98057-4912
	(425) 793-4700
	(425) 656-4046

Map and Direction

Physician's Profile

Full Name	Ellendee Pepper
Gender	Female
Speciality	Dermatology
Location	660 Sw 39th St, Renton, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861577223
Provider Enumeration Date: 10/26/2006
Last Update Date: 08/24/2017

Medicare PECOS Information:

PECOS PAC ID: 2466472261
Enrollment ID: I20051122000762

Medical Identifiers

Medical identifiers for Ellendee Pepper such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861577223	NPI	-	NPPES
070011908	Other	WA	RR MEDICARE
1008770	Medicaid	WA
0123182	Other	WA	L&I
PE0386	Other	WA	REGENCE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	MD00022801 (Washington)	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. Ellendee Pepper allows following entities to bill medicare on her behalf.

Entity Name	Valley Medical Group-renton
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619209574 PECOS PAC ID: 4183753965 Enrollment ID: O20100604000113

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. Ellendee Pepper 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
Ellendee Pepper, MD Po Box 34876, Seattle, WA 98124-1876 Ph: (425) 228-3440	Ellendee Pepper, MD 660 Sw 39th St, Ste 150, Renton, WA 98057-4912 Ph: (425) 793-4700

Reviews and Comments

Dermatology Doctors in Renton, WA

Young Mike Choi, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 910 N 10th Pl, Renton, WA 98057 Phone: 206-386-9540 Fax: 425-391-5751
Laura Walsh, MD, PHD Dermatology Medicare: Medicare Enrolled Practice Location: 600 Sw 39th St Ste 150, Renton, WA 98057 Phone: 425-690-3483 Fax: 425-690-9083
Kevin Man Hin Luk, Dermatology Medicare: Medicare Enrolled Practice Location: 660 Sw 39th St Ste 150, Renton, WA 98057 Phone: 425-690-3483 Fax: 425-690-9083
Cynthia Ackerman Knutson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 660 Sw 39th St Ste 150, Renton, WA 98057 Phone: 425-690-3483 Fax: 425-690-9083
Llewellyn Phillips Ii, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4509 Talbot Rd S, Suite 200, Renton, WA 98055 Phone: 425-228-4520 Fax: 425-226-0283
Mrs. Nicole Prevo Kageyama, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1412 Sw 43rd St Ste 205, Renton, WA 98057 Phone: 425-264-0660 Fax: 425-264-0601
Dr. Craig K Fujisaki, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4509 Talbot Rd S Ste 200, Renton, WA 98055 Phone: 425-228-4520 Fax: 425-226-0283

Ellendee Pepper, MD - Medicare Dermatology in Renton, WA