Gregory Ely, MD - Medicare Emergency Medicine in Peridot, AZ

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Gregory Ely, MD is a medicare enrolled "Emergency Medicine" physician in Peridot, Arizona. He went to University Of Nebraska College Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Dhhs Ihs Phoenix Area and his current practice location is 103 Medicine Way Rd, Peridot, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 475-1400.

Gregory Ely is licensed to practice in Arizona (license number 58573) 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 1528416088.

Contact Information

Gregory Ely, MD
103 Medicine Way Rd,
Peridot, AZ 85542-5000
(928) 475-1400
Not Available

Map and Direction




Physician's Profile

Full NameGregory Ely
GenderMale
SpecialityEmergency Medicine
Experience8 Years
Location103 Medicine Way Rd, Peridot, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gregory Ely attended and graduated from University Of Nebraska College Of Medicine in 2016
  NPI Data:
  • NPI Number: 1528416088
  • Provider Enumeration Date: 05/25/2016
  • Last Update Date: 07/12/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6204190630
  • Enrollment ID: I20200218000552

Medical Identifiers

Medical identifiers for Gregory Ely such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528416088NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 58573 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hopi Health Care CenterPolacca, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dhhs Ihs Phoenix Area943632542023

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. Gregory Ely allows following entities to bill medicare on his behalf.
Entity NameThe Fort Defiance Indian Hospital Board, Incorporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477876639
PECOS PAC ID: 0941336697
Enrollment ID: O20100429001153
Entity NameDhhs Ihs Phoenix Area
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356628028
PECOS PAC ID: 9436325420
Enrollment ID: O20120222000148
Entity NameSan Carlos Apache Healthcare Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265813075
PECOS PAC ID: 0648580597
Enrollment ID: O20151105002091

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. Gregory Ely 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
Gregory Ely, MD
4756 E 10th St,
Tucson, AZ 85711-3006

Ph: () -		Gregory Ely, MD
103 Medicine Way Rd,
Peridot, AZ 85542-5000

Ph: (928) 475-1400

Reviews and Comments


Emergency Medicine Doctors in Peridot, AZ

Bing Li, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 103 Medicine Way Rd, Peridot, AZ 85542
Phone: 928-475-1400    
Dr. Douglas Terry, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 103 Medicine Way Rd, Peridot, AZ 85542
Phone: 928-475-1282    Fax: 928-475-7373

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.