Renee R Ellerbroek, MD - Medicare Pathology in Urbandale, IA

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Renee R Ellerbroek, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Urbandale, Iowa. Her current practice location is 4637 121st St, Urbandale, Iowa. You can reach out to her office (for appointments etc.) via phone at (515) 655-7080.

Renee R Ellerbroek is licensed to practice in Iowa (license number 24490) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962510099.

Contact Information

Renee R Ellerbroek, MD
4637 121st St,
Urbandale, IA 50323-2311
(515) 655-7080
(515) 655-7090

Map and Direction




Physician's Profile

Full NameRenee R Ellerbroek
GenderFemale
SpecialityPathology - Anatomic Pathology & Clinical Pathology
Location4637 121st St, Urbandale, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962510099
  • Provider Enumeration Date: 08/28/2006
  • Last Update Date: 07/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3779687710
  • Enrollment ID: I20070330000157

Medical Identifiers

Medical identifiers for Renee R Ellerbroek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962510099NPI-NPPES
1041525MedicaidIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 24490 (Iowa)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. Renee R Ellerbroek allows following entities to bill medicare on her behalf.
Entity NameRegional Laboratory Consultants Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891805958
PECOS PAC ID: 6901709062
Enrollment ID: O20040128000391
Entity NameBroadlawns Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467447508
PECOS PAC ID: 3678466166
Enrollment ID: O20040206000913
Entity NameGoldfinch Laboratory Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477277119
PECOS PAC ID: 8123497211
Enrollment ID: O20221212002898

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. Renee R Ellerbroek 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
Renee R Ellerbroek, MD
4637 121st St,
Urbandale, IA 50323-2311

Ph: (515) 655-7080		Renee R Ellerbroek, MD
4637 121st St,
Urbandale, IA 50323-2311

Ph: (515) 655-7080

Reviews and Comments


Pathology Doctors in Urbandale, IA

Jared J Abbott, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 4637 121st St, Urbandale, IA 50323
Phone: 515-655-7080    Fax: 515-655-7090
Caitlin Brianne Halverson, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 4637 121st St, Urbandale, IA 50323
Phone: 515-655-7080    Fax: 515-655-7090
Gregory Alan Schmunk, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 2903 160th St, Urbandale, IA 50323
Phone: 515-710-2852    

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.