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 13 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, Smi Imaging Llc 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
Experience13 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 Corporation4284621525176
Smi Imaging Llc3476696220380

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 NamePronet Imaging Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528099488
PECOS PAC ID: 5890722755
Enrollment ID: O20050721000831
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 NameSmi Imaging LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972004489
PECOS PAC ID: 3476696220
Enrollment ID: O20180825000009
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: Not Available		Amy L Ellenbogen, MD
1215 Lee St,
Charlottesville, VA 22908-0816

Ph: (434) 924-9400

Reviews and Comments


Radiology Doctors in Charlottesville, VA

Connor D Sleeth, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 434-924-9400    
Dr. Norman A. Brenbridge, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 500 Martha Jefferson Dr, Charlottesville Radiology, Charlottesville, VA 22911
Phone: 434-244-4580    Fax: 434-244-4579
Gia Ann Deangelis, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1215 Lee St Fl 1, Charlottesville, VA 22908
Phone: 434-924-2781    Fax: 434-982-1618
Dr. Akhil Khetarpal, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1215 Lee St, Box 800719, Charlottesville, VA 22908
Phone: 434-924-2150    
Thomas J. Druzgal, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: Lee St Fl 1, Charlottesville, VA 22908
Phone: 434-243-6888    Fax: 434-982-0943
Rachita Khot, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 545 Ray C. Hunt Drive, Charlottesville, VA 22903
Phone: 434-982-0415    Fax: 434-243-6999
Michael T. Perry, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1215 Lee St, Charlottesville, VA 22908
Phone: 434-924-9400    Fax: 434-982-1618

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.