Michael Robin Ellen, MD in Mount Pleasant, WI

Michael Robin Ellen, MD is a medicare enrolled "Urology" physician in Mount Pleasant, Wisconsin. He went to Georgetown University School Of Medicine and graduated in 1980 and has 44 years of diverse experience with area of expertise as Urology. He is a member of the group practice Olympic Medical Physicians and his current practice location is 8400 Washington Ave, Mount Pleasant, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 884-4000.

Michael Robin Ellen is licensed to practice in Wisconsin (license number 83995) 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 1043287980.

Contact Information

	Michael Robin Ellen, MD
	8400 Washington Ave, Mount Pleasant, WI 53406-3735
	(262) 884-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Michael Robin Ellen
Gender	Male
Speciality	Urology
Experience	44 Years
Location	8400 Washington Ave, Mount Pleasant, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Michael Robin Ellen attended and graduated from Georgetown University School Of Medicine in 1980

NPI Data:

NPI Number: 1043287980
Provider Enumeration Date: 02/28/2006
Last Update Date: 10/18/2024

Medicare PECOS Information:

PECOS PAC ID: 4789685645
Enrollment ID: I20070122000078

Medical Identifiers

Medical identifiers for Michael Robin Ellen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043287980	NPI	-	NPPES
100284309	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	MD00026526 (Washington)	Secondary
208800000X	Urology	83995 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Olympic Medical Center	Port angeles, WA	Hospital
Forks Community Hospital	Forks, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Olympic Medical Physicians	9537172358	105

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. Michael Robin Ellen allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619176997 PECOS PAC ID: 7719873496 Enrollment ID: O20040227000744

Entity Name	Olympic Medical Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427081967 PECOS PAC ID: 9537172358 Enrollment ID: O20060721000246

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. Michael Robin Ellen 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
Michael Robin Ellen, MD Po Box 735044, Chicago, IL 60673-0544 Ph: (800) 326-2250	Michael Robin Ellen, MD 8400 Washington Ave, Mount Pleasant, WI 53406-3735 Ph: (262) 884-4000

Michael Robin Ellen, MD - Medicare Urology in Mount Pleasant, WI