Matthew Forrest Ellison, in South Charleston, WV - Medicare Certified Registered Nurse Anesthetist (crna)

Matthew Forrest Ellison, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in South Charleston, West Virginia. He graduated from nursing school in 2022 and has 2 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Northstar Anesthesia Of West Virginia Pllc and his current practice location is 100 Angus E Peyton Dr, South Charleston, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 746-2500.

Matthew Forrest Ellison is licensed to practice in West Virginia (license number 113031) 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 1992446215.

Contact Information

	Matthew Forrest Ellison,
	100 Angus E Peyton Dr, South Charleston, WV 25303-1600
	(304) 746-2500
	Not Available

Map and Direction

Provider's Profile

Full Name	Matthew Forrest Ellison
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	2 Years
Location	100 Angus E Peyton Dr, South Charleston, West Virginia
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:

Matthew Forrest Ellison graduated from nursing school in 2022

NPI Data:

NPI Number: 1992446215
Provider Enumeration Date: 04/02/2022
Last Update Date: 02/20/2024

Medicare PECOS Information:

PECOS PAC ID: 9638556178
Enrollment ID: I20220523000176

Medical Identifiers

Medical identifiers for Matthew Forrest Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992446215	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	113031 (West Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cabell Huntington Hospital Inc	Huntington, WV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northstar Anesthesia Of West Virginia Pllc	2668750241	114

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. Matthew Forrest Ellison allows following entities to bill medicare on his behalf.

Entity Name	River Cities Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699845164 PECOS PAC ID: 6002707015 Enrollment ID: O20040322000089

Entity Name	Northstar Anesthesia Of West Virginia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821448150 PECOS PAC ID: 2668750241 Enrollment ID: O20161102001322

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. Matthew Forrest 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
Matthew Forrest Ellison, 136 Bayside Dr, Huntington, WV 25705-2533 Ph: (304) 228-7323	Matthew Forrest Ellison, 100 Angus E Peyton Dr, South Charleston, WV 25303-1600 Ph: (304) 746-2500

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in South Charleston, WV

Lindsey Rubenstein, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600
Bradley S. Persinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 Rockcrest Dr, South Charleston, WV 25309 Phone: 304-542-3927 Fax: 304-768-2468
Tammy L Cunningham, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600
Jessica Smith, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Angus E Peyton Dr, South Charleston, WV 25303 Phone: 304-746-2088
Mary E. West, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600
Marnie E. Edwards, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600
Nicholas E. Clark, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600

Matthew Forrest Ellison, - Medicare Certified Registered Nurse Anesthetist (crna) in South Charleston, WV