Ellisandre Morgan Larrabee Daragon, in Saint Paul, MN

Ellisandre Morgan Larrabee Daragon, is a medicare enrolled "Emergency Medicine" physician in Saint Paul, Minnesota. She went to Medical College Of Georgia School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Utah Emergency Physicians, Las Cruces Hb Medical Services Llc and her current practice location is 640 Jackson St, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 254-3456.

Ellisandre Morgan Larrabee Daragon is licensed to practice in Idaho (license number M13548) 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 1639412125.

Contact Information

	Ellisandre Morgan Larrabee Daragon,
	640 Jackson St, Saint Paul, MN 55101-2502
	(651) 254-3456
	Not Available

Map and Direction

Physician's Profile

Full Name	Ellisandre Morgan Larrabee Daragon
Gender	Female
Speciality	Emergency Medicine
Experience	11 Years
Location	640 Jackson St, Saint Paul, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ellisandre Morgan Larrabee Daragon attended and graduated from Medical College Of Georgia School Of Medicine in 2013

NPI Data:

NPI Number: 1639412125
Provider Enumeration Date: 04/03/2013
Last Update Date: 09/27/2021

Medicare PECOS Information:

PECOS PAC ID: 7517269178
Enrollment ID: I20170111001789

Medical Identifiers

Medical identifiers for Ellisandre Morgan Larrabee Daragon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639412125	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	9662057-1205 (Utah)	Secondary
207P00000X	Emergency Medicine	68799-20 (Wisconsin)	Secondary
207P00000X	Emergency Medicine	2017034039 (Missouri)	Secondary
207P00000X	Emergency Medicine	M13548 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mountain View Regional Medical Center	Las cruces, NM	Hospital
Riverton Hospital	Riverton, UT	Hospital
Intermountain Medical Center	Murray, UT	Hospital
Alta View Hospital	Sandy, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Utah Emergency Physicians	1153307277	125
Las Cruces Hb Medical Services Llc	8123473600	29

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. Ellisandre Morgan Larrabee Daragon allows following entities to bill medicare on her behalf.

Entity Name	Emergency Physicians Integrated Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578598199 PECOS PAC ID: 4284548116 Enrollment ID: O20031115000013

Entity Name	Utah Emergency Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588048979 PECOS PAC ID: 1153307277 Enrollment ID: O20040628001454

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. Ellisandre Morgan Larrabee Daragon 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
Ellisandre Morgan Larrabee Daragon, 7500 Rialto Blvd Ste 1-140, Austin, TX 78735-8534 Ph: (512) 730-3056	Ellisandre Morgan Larrabee Daragon, 640 Jackson St, Saint Paul, MN 55101-2502 Ph: (651) 254-3456

Reviews and Comments

Emergency Medicine Doctors in Saint Paul, MN

Dr. Katherine Glasrud, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 612-863-6590
Dr. Brian Thomas Gooley, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-241-8755
Gerald Fred Peterson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-241-8755 Fax: 651-241-7154
Samantha Anne Wen, PA Emergency Medicine Medicare: Medicare Enrolled Practice Location: 333 Smith Ave N, United Hospital, Saint Paul, MN 55102 Phone: 612-241-8755
Benjamin J Peake, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 600 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3666
Dr. Andrew Richard Zinkel, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 640 Jackson St, 11102f, Saint Paul, MN 55101 Phone: 651-254-5211 Fax: 651-254-5216
Emily M Thompson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 Wabasha St S, Saint Paul, MN 55107 Phone: 952-853-8800 Fax: 651-293-8106

Ellisandre Morgan Larrabee Daragon, - Medicare Emergency Medicine in Saint Paul, MN