Amy Ellingson, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Minneapolis, Minnesota. Her current practice location is
2220 Plymouth Ave N, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 543-2500.
Amy Ellingson is licensed to practice in * (Not Available) (license number ) 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 1154950483.
Physician's Profile
Full Name | Amy Ellingson |
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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 | 2220 Plymouth Ave N, Minneapolis, Minnesota |
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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: 1154950483
- Provider Enumeration Date: 04/07/2020
- Last Update Date: 12/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 2062949761
- Enrollment ID: I20241219000479
Medical Identifiers
Medical identifiers for Amy Ellingson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154950483 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 71609 (Minnesota) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Amy Ellingson allows following entities to bill medicare on her behalf.
Entity Name | Hennepin County |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780790345 PECOS PAC ID: 7911892849 Enrollment ID: O20040218001012 |
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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. Amy Ellingson 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 |
Amy Ellingson, MD 2220 Plymouth Ave N, Minneapolis, MN 55411-3600 Ph: (612) 543-2500 | Amy Ellingson, MD 2220 Plymouth Ave N, Minneapolis, MN 55411-3600 Ph: (612) 543-2500 |
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