Amy L Ellenbogen, MD - Medicare Diagnostic Radiology in Charlottesville, VA

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Amy L Ellenbogen, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Charlottesville, Virginia. She went to University Of Virginia School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Health Diagnostics Of California A Professional Corporation and her current practice location is 1215 Lee St, Charlottesville, Virginia. You can reach out to her office (for appointments etc.) via phone at (434) 924-9400.

Amy L Ellenbogen is licensed to practice in Virginia (license number 0101266797) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336584101.

Contact Information

Amy L Ellenbogen, MD
1215 Lee St,
Charlottesville, VA 22908-0816
(434) 924-9400
(434) 982-1618

Map and Direction




Physician's Profile

Full NameAmy L Ellenbogen
GenderFemale
SpecialityDiagnostic Radiology
Experience11 Years
Location1215 Lee St, Charlottesville, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amy L Ellenbogen attended and graduated from University Of Virginia School Of Medicine in 2013
  NPI Data:
  • NPI Number: 1336584101
  • Provider Enumeration Date: 05/07/2013
  • Last Update Date: 07/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5991039372
  • Enrollment ID: I20210806002395

Medical Identifiers

Medical identifiers for Amy L Ellenbogen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336584101NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 0101266797 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Health Diagnostics Of California A Professional Corporation428462152585

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. Amy L Ellenbogen allows following entities to bill medicare on her behalf.
Entity NameDiagnostic Radiological Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710931910
PECOS PAC ID: 4981680220
Enrollment ID: O20040626000471
Entity NamePronet Imaging Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528099488
PECOS PAC ID: 5890722755
Enrollment ID: O20050721000831
Entity NameBeverly Radiology Medical Group Iii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20060221000914
Entity NameSan Fernando Valley Interventional Radiology And Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942350889
PECOS PAC ID: 3476651431
Enrollment ID: O20070614000478
Entity NameFresno Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659456499
PECOS PAC ID: 2466553128
Enrollment ID: O20070724000813
Entity NameNorcal Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003965997
PECOS PAC ID: 7911099346
Enrollment ID: O20070815000403
Entity NameRadnet Medical Imaging - San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548345382
PECOS PAC ID: 9830283761
Enrollment ID: O20070921000636
Entity NameEmeryville Advanced Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376597930
PECOS PAC ID: 3375637051
Enrollment ID: O20070926000354
Entity NameModesto Advanced Diagnostic Imaging Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730133893
PECOS PAC ID: 1850336736
Enrollment ID: O20080313000323
Entity NameSanta Rosa Imaging Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689890444
PECOS PAC ID: 2567408859
Enrollment ID: O20100324000598
Entity NameHealth Diagnostics Of California A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104321959
PECOS PAC ID: 4284621525
Enrollment ID: O20180825000084

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. Amy L Ellenbogen 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 AddressPractice Location Address
Amy L Ellenbogen, MD
Po Box 9007,
Charlottesville, VA 22906-9007

Ph: () -		Amy L Ellenbogen, MD
1215 Lee St,
Charlottesville, VA 22908-0816

Ph: (434) 924-9400

Reviews and Comments


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Michael T. Perry, M.D.
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Dr. Colin P Derdeyn, MD
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Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 434-924-9400    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.