Walter Nicholas Ellis, DPM is a medicare enrolled "Podiatrist" provider in St Cloud, Minnesota. He went to William M. Scholl College Of Podiatric Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice St Cloud Foot And Ankle Center Pa and 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 | Podiatry |
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| Experience | 35 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 William M. Scholl College Of Podiatric Medicine in 1989
NPI Data:
- NPI Number: 1588625958
- Provider Enumeration Date: 03/28/2006
- Last Update Date: 01/08/2015
Medicare PECOS Information:
- PECOS PAC ID: 9537140272
- Enrollment ID: I20120131000236
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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St Cloud Foot And Ankle Center Pa | 2062589740 | 5 |
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. Walter Nicholas Ellis allows following entities to bill medicare on his behalf.
| Provider Name | St Cloud Foot & Ankle Center Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1083675458
PECOS PAC ID: 2062589740
Enrollment ID: O20080922000558 |
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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 |
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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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