Alyssa L Ellerbrock, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Conroe, Texas. Her current practice location is
605 S Conroe Medical Dr, Conroe, Texas. You can reach out to her office (for appointments etc.) via phone at
(936) 539-4004.
Alyssa L Ellerbrock is licensed to practice in Texas (license number BP10074828) 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 1326629049.
Physician's Profile
Full Name | Alyssa L Ellerbrock |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 605 S Conroe Medical Dr, Conroe, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1326629049
- Provider Enumeration Date: 04/15/2021
- Last Update Date: 03/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 8729487939
- Enrollment ID: I20210520000549
Medical Identifiers
Medical identifiers for Alyssa L Ellerbrock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326629049 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | U2478 (Texas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | BP10074828 (Texas) | 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. Alyssa L Ellerbrock 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 |
Alyssa L Ellerbrock, MD 605 S Conroe Medical Dr, Conroe, TX 77304-4722 Ph: (936) 539-4004 | Alyssa L Ellerbrock, MD 605 S Conroe Medical Dr, Conroe, TX 77304-4722 Ph: (936) 539-4004 |
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