Mr David Garth Ellertson Sr, MD in Modesto, CA

Mr David Garth Ellertson Sr, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Modesto, California. He went to University Of California, Irvine, California College Of Medicine and graduated in 1968 and has 56 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Valley Wound Healing Center Inc and his current practice location is 4101 Tully Rd, Suite 101, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 524-8346.

Mr David Garth Ellertson Sr is licensed to practice in California (license number G17987) 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 1912964495.

Contact Information

	Mr David Garth Ellertson Sr, MD
	4101 Tully Rd, Suite 101, Modesto, CA 95356-8980
	(209) 524-8346
	(209) 524-7723

Map and Direction

Physician's Profile

Full Name	Mr David Garth Ellertson Sr
Gender	Male
Speciality	Vascular Surgery
Experience	56 Years
Location	4101 Tully Rd, Modesto, California
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:

Mr David Garth Ellertson Sr attended and graduated from University Of California, Irvine, California College Of Medicine in 1968

NPI Data:

NPI Number: 1912964495
Provider Enumeration Date: 04/27/2006
Last Update Date: 02/12/2015

Medicare PECOS Information:

PECOS PAC ID: 8325931454
Enrollment ID: I20040203001131

Medical Identifiers

Medical identifiers for Mr David Garth Ellertson Sr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912964495	NPI	-	NPPES
20014578	Other	CA	MEDICARE ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	G17987 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Valley Wound Healing Center Inc	2365541653	4

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. Mr David Garth Ellertson Sr allows following entities to bill medicare on his behalf.

Entity Name	Western Associates In Surgery
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720292733 PECOS PAC ID: 6608815279 Enrollment ID: O20050503000608

Entity Name	Valley Wound Healing Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730285073 PECOS PAC ID: 2365541653 Enrollment ID: O20070627000566

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. Mr David Garth Ellertson Sr 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
Mr David Garth Ellertson Sr, MD 4101 Tully Rd, Suite 101, Modesto, CA 95356-8980 Ph: (209) 524-8346	Mr David Garth Ellertson Sr, MD 4101 Tully Rd, Suite 101, Modesto, CA 95356-8980 Ph: (209) 524-8346

Reviews and Comments

Surgery Doctors in Modesto, CA

Wei Loong Glenn Koh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Suite 4a5, Modesto, CA 95356 Phone: 925-200-1811
Shirley Rose Ramiscal Domingo, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 Coffee Rd, Modesto, CA 95355 Phone: 209-526-4500
Calvin M Lee, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2336 Sylvan Ave, Ste C, Modesto, CA 95355 Phone: 209-551-1888 Fax: 209-551-5662
Dr. Patrick James Coates, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1552 Coffee Rd Ste 200, Modesto, CA 95355 Phone: 209-248-7168 Fax: 209-846-9641
Matthew James Coates, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1552 Coffee Rd Ste 200, Modesto, CA 95355 Phone: 209-248-7168 Fax: 209-846-9641
Dr. Tony Yuk Man Tam, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 Coffee Rd, Modesto, CA 95355 Phone: 209-579-5628 Fax: 209-579-5637
Timothy A Davis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1409 E Briggsmore Ave, Modesto, CA 95355 Phone: 209-550-4788

Mr David Garth Ellertson Sr, MD - Medicare Vascular Surgery in Modesto, CA