Ellen Simone Passloff, MD in Shoreline, WA

Ellen Simone Passloff, MD is a medicare enrolled "Pediatrics" physician in Shoreline, Washington. Her current practice location is 1201 N 175th St, Shoreline, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 401-3200.

Ellen Simone Passloff is licensed to practice in Washington (license number MD00030068) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033288188.

Contact Information

	Ellen Simone Passloff, MD
	1201 N 175th St, Shoreline, WA 98133-5064
	(206) 401-3200
	Not Available

Map and Direction

Physician's Profile

Full Name	Ellen Simone Passloff
Gender	Female
Speciality	Pediatrics
Location	1201 N 175th St, Shoreline, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033288188
Provider Enumeration Date: 11/06/2006
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 2062651649
Enrollment ID: I20130611000354

Medical Identifiers

Medical identifiers for Ellen Simone Passloff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033288188	NPI	-	NPPES
8154049	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD00030068 (Washington)	Primary

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. Ellen Simone Passloff allows following entities to bill medicare on her behalf.

Entity Name	The Everett Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922

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. Ellen Simone Passloff 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
Ellen Simone Passloff, MD 11545 15th Ave Ne, Suite 205, Seattle, WA 98125-6358 Ph: (206) 364-2010	Ellen Simone Passloff, MD 1201 N 175th St, Shoreline, WA 98133-5064 Ph: (206) 401-3200

Reviews and Comments

Pediatrics Doctors in Shoreline, WA

Anne H Reese, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 357 Nw Richmond Beach Rd, Richmond Pediatrics, Shoreline, WA 98177 Phone: 206-546-2421 Fax: 206-546-8436
Dr. Marion L Folkemer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1355 N 205th St, Shoreline, WA 98133 Phone: 206-542-5656 Fax: 206-520-1899
Melissa Cecilia Walsh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 357 Nw Richmond Beach Rd, Shoreline, WA 98177 Phone: 206-546-2421
Mr. Donald Robert Milligan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15230 15th Ave Ne, Shoreline, WA 98155 Phone: 206-361-3087 Fax: 206-361-3035
Dr. Susan Mary Hyde, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1355 N 205th St, Shoreline, WA 98133 Phone: 206-542-5656
Mrs. Melissa Nicole Genualdi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 604 Nw Richmond Beach Rd, Shoreline, WA 98177 Phone: 206-533-2900

Ellen Simone Passloff, MD - Medicare Pediatrics in Shoreline, WA