Dr Wayne D Ellenbecker, OD | |
1250 W Ironwood Dr, Suite 201, Coeur D Alene, ID 83814-2679 | |
(208) 667-2255 | |
(208) 765-5889 |
Full Name | Dr Wayne D Ellenbecker |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 37 Years |
Location | 1250 W Ironwood Dr, Coeur D Alene, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710972450 | NPI | - | NPPES |
002689900 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 800 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ellenbecker Eye Clinic, Pllc | 4587660782 | 2 |
Provider Name | Ellenbecker Eye Clinic, Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205931995 PECOS PAC ID: 4587660782 Enrollment ID: O20061011000417 |
Mailing Address | Practice Location Address |
---|---|
Dr Wayne D Ellenbecker, OD 2140 W Riverstone Dr, Ste 101, Coeur D Alene, ID 83814-4968 Ph: (208) 667-2255 | Dr Wayne D Ellenbecker, OD 1250 W Ironwood Dr, Suite 201, Coeur D Alene, ID 83814-2679 Ph: (208) 667-2255 |
Empire Eye Physicians Optometrist Medicare: Medicare Enrolled Practice Location: 2175 N Main St, Coeur D Alene, ID 83814 Phone: 208-664-9888 Fax: 208-666-0816 | |
Roy Lavern Clapper, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 355 E Neider Ave, Coeur D Alene, ID 83815 Phone: 208-676-7356 Fax: 208-676-7384 | |
Dr. Cindy L Ellenbecker, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1250 W Ironwood Dr, Coeur D Alene, ID 83814 Phone: 208-667-2255 Fax: 208-765-5889 | |
Kelsi Butherus, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 355 E Neider Ave, Coeur D Alene, ID 83815 Phone: 208-676-7356 | |
Coeur D Alene Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 409 W Neider Ave Ste C, Coeur D Alene, ID 83815 Phone: 208-765-5665 Fax: 208-765-1716 | |
Ellenbecker Eye Clinic, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 1250 W Ironwood Dr, Suite 201, Coeur D Alene, ID 83814 Phone: 208-667-2255 Fax: 208-765-5889 | |
Dr. Robert John Johnson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1801 N 3rd St, Coeur D Alene, ID 83814 Phone: 208-667-1591 Fax: 208-676-8574 |