Ellyn Allen, PA-C is a medicare enrolled "Physician Assistant" physician in Indianapolis, Indiana. Her current practice location is
5255 E Stop 11 Rd Ste 200, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 528-1212.
Ellyn Allen is licensed to practice in Indiana (license number 10004323A) 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 1508637489.
Physician's Profile
Full Name | Ellyn Allen |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 5255 E Stop 11 Rd Ste 200, Indianapolis, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508637489
- Provider Enumeration Date: 01/10/2024
- Last Update Date: 03/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 0941648539
- Enrollment ID: I20240402001051
Medical Identifiers
Medical identifiers for Ellyn Allen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508637489 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086S0129X | Surgery - Vascular Surgery | NA (Indiana) | Secondary |
363A00000X | Physician Assistant | 10004323A (Indiana) | 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. Ellyn Allen 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 |
Ellyn Allen, PA-C Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Ellyn Allen, PA-C 5255 E Stop 11 Rd Ste 200, Indianapolis, IN 46237-6341 Ph: (317) 528-1212 |
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