Walter Nicholas Ellis, DPM is a medicare enrolled "Podiatrist" provider in St Cloud, Minnesota. His current practice location is
106 Doctors Park, St Cloud, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(320) 251-5444.
Walter Nicholas Ellis is licensed to practice in Minnesota (license number 451) 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 1588625958.
Healthcare Provider's Profile
| Full Name | Walter Nicholas Ellis |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 106 Doctors Park, St Cloud, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Walter Nicholas Ellis attended and graduated from in
NPI Data:
- NPI Number: 1588625958
- Provider Enumeration Date: 03/28/2006
- Last Update Date: 01/08/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Walter Nicholas Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588625958 | NPI | - | NPPES |
| 684025600 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | 451 (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. Walter Nicholas Ellis 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 |
|---|
Walter Nicholas Ellis, DPM
106 Doctors Park,
St Cloud, MN 56303-1207
Ph: (320) 251-5444 | Walter Nicholas Ellis, DPM
106 Doctors Park,
St Cloud, MN 56303-1207
Ph: (320) 251-5444 |
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