Mrs Gwendy Jo Ellingson, is a
Registered Nurse based in Byron, Minnesota. Mrs Gwendy Jo Ellingson is licensed to practice in Minnesota (license number 201886-7) and her current practice location is
1220 Sundance Ct Ne, Byron, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(507) 993-6402.
NPI number for Mrs Gwendy Jo Ellingson is 1811315930 and her current mailing address is 1220 Sundance Ct Ne, Byron, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811315930.
Provider's Profile
| Full Name | Mrs Gwendy Jo Ellingson |
|---|
| Gender | Female |
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| Speciality | Registered Nurse |
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| Location | 1220 Sundance Ct Ne, Byron, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811315930
- Provider Enumeration Date: 04/04/2014
- Last Update Date: 06/11/2019
Medical Identifiers
Medical identifiers for Mrs Gwendy Jo Ellingson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811315930 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 201886-7 (Minnesota) | Primary |
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. Mrs Gwendy Jo Ellingson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Gwendy Jo Ellingson,
1220 Sundance Ct Ne,
Byron, MN 55920-1573
Ph: (507) 993-6402 | Mrs Gwendy Jo Ellingson,
1220 Sundance Ct Ne,
Byron, MN 55920-1573
Ph: (507) 993-6402 |
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