Jason M Ellison, MD in Boise, ID - Medicare Pediatrics

Jason M Ellison, MD is a medicare enrolled "Pediatrics - Pediatric Gastroenterology" physician in Boise, Idaho. His current practice location is 1072 N Liberty St, Ste 200, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 302-4600.

Jason M Ellison is licensed to practice in Idaho (license number M-10380) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1740231455.

Contact Information

	Jason M Ellison, MD
	1072 N Liberty St, Ste 200, Boise, ID 83704
	(208) 302-4600
	(208) 302-4655

Map and Direction

Physician's Profile

Full Name	Jason M Ellison
Gender	Male
Speciality	Pediatrics - Pediatric Gastroenterology
Location	1072 N Liberty St, Boise, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740231455
Provider Enumeration Date: 05/15/2006
Last Update Date: 04/25/2018

Medicare PECOS Information:

PECOS PAC ID: 5496943565
Enrollment ID: I20101216000645

Medical Identifiers

Medical identifiers for Jason M Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740231455	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	M10380 (Idaho)	Secondary
2080P0206X	Pediatrics - Pediatric Gastroenterology	M-10380 (Idaho)	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. Jason M Ellison allows following entities to bill medicare on his behalf.

Entity Name	Saint Alphonsus Regional Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036

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. Jason M Ellison 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
Jason M Ellison, MD 3340 E Goldstone Way, Meridian, ID 83642 Ph: (208) 302-4600	Jason M Ellison, MD 1072 N Liberty St, Ste 200, Boise, ID 83704 Ph: (208) 302-4600

Reviews and Comments

Pediatrics Doctors in Boise, ID

Dr. Nathan D Meeker, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St, Boise, ID 83712 Phone: 208-381-2782 Fax: 208-381-3172
Nicolas A Camilo, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St., Boise, ID 83712 Phone: 208-381-2782 Fax: 208-381-3172
Heather Carew, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2645
Dr. Frederick K Emge, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St, Suite 200, Boise, ID 83712 Phone: 208-381-7384 Fax: 208-381-7387
Annis Wakelee Vargas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1072 N Liberty Street, Ste 203, Boise, ID 83701 Phone: 208-302-5800 Fax: 208-302-5855
Mrs. Lisa S Labor, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8610 W Overland Rd, Boise, ID 83709 Phone: 208-954-8711 Fax: 208-375-2217
Mikelle E Mikesell, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8610 W Overland Rd, Boise, ID 83709 Phone: 208-954-8711

Jason M Ellison, MD - Medicare Pediatrics in Boise, ID