Dr Diane Elizabeth Ellis, MD in Fargo, ND

Dr Diane Elizabeth Ellis, MD is a medicare enrolled "Surgery" physician in Fargo, North Dakota. Her current practice location is 801 Broadway N, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 234-2000.

Dr Diane Elizabeth Ellis is licensed to practice in North Dakota (license number PT21592) 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 1447448865.

Contact Information

	Dr Diane Elizabeth Ellis, MD
	801 Broadway N, Fargo, ND 58102-3641
	(701) 234-2000
	(701) 234-2345

Map and Direction

Physician's Profile

Full Name	Dr Diane Elizabeth Ellis
Gender	Female
Speciality	Surgery
Location	801 Broadway N, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447448865
Provider Enumeration Date: 10/10/2007
Last Update Date: 09/25/2024

Medicare PECOS Information:

PECOS PAC ID: 3779670054
Enrollment ID: I20160628000908

Medical Identifiers

Medical identifiers for Dr Diane Elizabeth Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447448865	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	365485-1205 (Utah)	Secondary
208600000X	Surgery	PT21592 (North Dakota)	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. Dr Diane Elizabeth Ellis allows following entities to bill medicare on her behalf.

Entity Name	South Peninsula Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679566269 PECOS PAC ID: 5395636930 Enrollment ID: O20040323000583

Entity Name	Anchorage Women's Clinic At Providence Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265496061 PECOS PAC ID: 9032102124 Enrollment ID: O20040405001651

Entity Name	Obhg Alaska Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740697069 PECOS PAC ID: 7113233834 Enrollment ID: O20150826000621

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 Diane Elizabeth Ellis 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 Diane Elizabeth Ellis, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-9419	Dr Diane Elizabeth Ellis, MD 801 Broadway N, Fargo, ND 58102-3641 Ph: (701) 234-2000

Reviews and Comments

Surgery Doctors in Fargo, ND

Dre Steinwehr, Surgery Medicare: Medicare Enrolled Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575
Zachary Joseph Ernst, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000
Jerome I Thompson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 737 Broadway N, Fargo, ND 58122 Phone: 701-234-4811 Fax: 701-234-6979
Bhargav M Mistry, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-6715 Fax: 701-234-3868
Roxanne V Newman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2254 Fax: 701-234-3769
Steven E Briggs, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2251 Fax: 701-234-2050
Johanna R Askegard, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-3467

Dr Diane Elizabeth Ellis, MD - Medicare Surgery in Fargo, ND