Leslie Ellis, in Woodbury, MN - Medicare Sports Medicine

Leslie Ellis, is a medicare enrolled "Emergency Medicine - Sports Medicine" physician in Woodbury, Minnesota. She went to New York University School Of Medicine and graduated in 2014 and has 11 years of diverse experience with area of expertise as Sports Medicine. She is a member of the group practice Tria Orthopaedic Center Llc and her current practice location is 155 Radio Dr, Woodbury, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 831-8742.

Leslie Ellis is licensed to practice in Minnesota (license number 68502) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568889418.

Contact Information

	Leslie Ellis,
	155 Radio Dr, Woodbury, MN 55125-2619
	(952) 831-8742
	Not Available

Map and Direction

Physician's Profile

Full Name	Leslie Ellis
Gender	Female
Speciality	Sports Medicine
Experience	11 Years
Location	155 Radio Dr, Woodbury, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Leslie Ellis attended and graduated from New York University School Of Medicine in 2014

NPI Data:

NPI Number: 1568889418
Provider Enumeration Date: 03/27/2014
Last Update Date: 06/13/2023

Medicare PECOS Information:

PECOS PAC ID: 3577807304
Enrollment ID: I20210223002257

Medical Identifiers

Medical identifiers for Leslie Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568889418	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PS0010X	Emergency Medicine - Sports Medicine	3005091 (New York)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207PS0010X	Emergency Medicine - Sports Medicine	68502 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Regions Hospital	Saint paul, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tria Orthopaedic Center Llc	3173570561	362

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. Leslie Ellis allows following entities to bill medicare on her behalf.

Entity Name	Park Nicollet Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

Entity Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417

Entity Name	Tria Orthopaedic Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999

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. Leslie Ellis 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
Leslie Ellis, 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () -	Leslie Ellis, 155 Radio Dr, Woodbury, MN 55125-2619 Ph: (952) 831-8742

Reviews and Comments

Emergency Medicine Doctors in Woodbury, MN

Dr. Scott E Nicholls, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1925 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-232-0228
Dr. Jayson Robert Pereira, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 155 Radio Dr, Woodbury, MN 55125 Phone: 952-831-8742
Steven Palm, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1925 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-232-0348
Patrick White, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-241-3000
Dr. Maryam Beltran Shapland, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1925 Woodwinds Dr, Emergency Department, Woodbury, MN 55125 Phone: 651-232-6818
Jerome R Peterson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8450 Seasons Pkwy, Woodbury, MN 55125 Phone: 612-339-3663 Fax: 651-702-5305
Michael S Towey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1925 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-232-0348 Fax: 635-123-2062

Leslie Ellis, - Medicare Sports Medicine in Woodbury, MN