Dr Clinton Ellingson, MD in Idaho Falls, ID

Dr Clinton Ellingson, MD is a medicare enrolled "Ophthalmology - Retina Specialist" physician in Idaho Falls, Idaho. He went to Pennsylvania State University College Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Premier Eye Care Of Eastern Idaho, Premier Eye Care Of Eastern Idaho and his current practice location is 2100 Providence Way, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 529-6600.

Dr Clinton Ellingson is licensed to practice in Idaho (license number M-15285) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1326332776.

Contact Information

	Dr Clinton Ellingson, MD
	2100 Providence Way, Idaho Falls, ID 83404-4951
	(208) 529-6600
	(208) 529-6602

Map and Direction

Physician's Profile

Full Name	Dr Clinton Ellingson
Gender	Male
Speciality	Ophthalmology
Experience	13 Years
Location	2100 Providence Way, Idaho Falls, Idaho
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Clinton Ellingson attended and graduated from Pennsylvania State University College Of Medicine in 2011

NPI Data:

NPI Number: 1326332776
Provider Enumeration Date: 06/02/2011
Last Update Date: 08/05/2021

Medicare PECOS Information:

PECOS PAC ID: 4587979430
Enrollment ID: I20210415002349

Medical Identifiers

Medical identifiers for Dr Clinton Ellingson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326332776	NPI	-	NPPES
1326332776	Medicaid	WV
0160321	Medicaid	OH
1326332776	Medicaid	ID
7100279250	Medicaid	KY
300021246	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	49026 (Kentucky)	Secondary
207W00000X	Ophthalmology	01080410A (Indiana)	Secondary
207WX0107X	Ophthalmology - Retina Specialist	49026 (Kentucky)	Secondary
207WX0107X	Ophthalmology - Retina Specialist	M-15285 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Eastern Idaho Regional Medical Center	Idaho falls, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Premier Eye Care Of Eastern Idaho	2466611744	7
Premier Eye Care Of Eastern Idaho	2466611744	7

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. Dr Clinton Ellingson allows following entities to bill medicare on his behalf.

Entity Name	Premier Eye Care Of Eastern Idaho
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790052603 PECOS PAC ID: 2466611744 Enrollment ID: O20120306000360

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. Dr Clinton 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
Dr Clinton Ellingson, MD 2100 Providence Way, Idaho Falls, ID 83404-4951 Ph: (208) 529-6600	Dr Clinton Ellingson, MD 2100 Providence Way, Idaho Falls, ID 83404-4951 Ph: (208) 529-6600

Reviews and Comments

Ophthalmology Doctors in Idaho Falls, ID

Matthew P Traynor, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2100 Providence Way, Idaho Falls, ID 83404 Phone: 208-529-6600 Fax: 208-529-6602
Dr. Kenneth W Turley, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2025 E 17th St, Idaho Falls, ID 83404 Phone: 208-524-2025 Fax: 208-529-1924
Dr. Gary Wayne Wallace, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2295 Coronado Street, Idaho Falls, ID 83404 Phone: 208-524-8600 Fax: 208-524-8394
David Ray Anderson, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 530 S Holmes, Idaho Falls, ID 83403 Phone: 208-529-3937 Fax: 208-524-4380
Dr. Bradley P Gardner, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2025 E 17th St, Idaho Falls, ID 83404 Phone: 208-524-2025 Fax: 208-529-1924
Mr. Peter Carl Zimmerman, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1449 E 17th Street, Idaho Falls, ID 83404 Phone: 208-529-6600 Fax: 208-529-6603

Dr Clinton Ellingson, MD - Medicare Ophthalmology in Idaho Falls, ID