Dr Ellen D Dillavou, MD in Raleigh, NC - Medicare Vascular Surgery

Dr Ellen D Dillavou, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Raleigh, North Carolina. She went to University Of Arizona College Of Medicine and graduated in 1996 and has 29 years of diverse experience with area of expertise as Vascular Surgery. She is a member of the group practice North Carolina Nephrology Pa, Wakemed Specialists Group Llc and her current practice location is 3000 New Bern Ave, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 350-8000.

Dr Ellen D Dillavou is licensed to practice in North Carolina (license number 2015-01778) 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 1932172442.

Contact Information

	Dr Ellen D Dillavou, MD
	3000 New Bern Ave, Raleigh, NC 27610-1231
	(919) 350-8000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Ellen D Dillavou
Gender	Female
Speciality	Vascular Surgery
Experience	29 Years
Location	3000 New Bern Ave, Raleigh, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Ellen D Dillavou attended and graduated from University Of Arizona College Of Medicine in 1996

NPI Data:

NPI Number: 1932172442
Provider Enumeration Date: 02/08/2006
Last Update Date: 12/04/2025

Medicare PECOS Information:

PECOS PAC ID: 5193702207
Enrollment ID: I20151012002483

Medical Identifiers

Medical identifiers for Dr Ellen D Dillavou such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932172442	NPI	-	NPPES
100966194	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	2015-01778 (North Carolina)	Primary
208600000X	Surgery	2015-01778 (North Carolina)	Secondary
2086S0129X	Surgery - Vascular Surgery	MD066225L (Pennsylvania)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wakemed, Raleigh Campus	Raleigh, NC	Hospital
Wakemed, Cary Hospital	Cary, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Carolina Nephrology Pa	0244511483	59
Wakemed Specialists Group Llc	2466788377	774

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 Ellen D Dillavou allows following entities to bill medicare on her behalf.

Entity Name	North Carolina Nephrology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750835336 PECOS PAC ID: 0244511483 Enrollment ID: O20170103000254

Entity Name	Wakemed Specialists Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588227839 PECOS PAC ID: 2466788377 Enrollment ID: O20190731000815

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 Ellen D Dillavou 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 Ellen D Dillavou, MD Po Box 63362, Charlotte, NC 28263-3362 Ph: (800) 782-6945	Dr Ellen D Dillavou, MD 3000 New Bern Ave, Raleigh, NC 27610-1231 Ph: (919) 350-8000

Reviews and Comments

Surgery Doctors in Raleigh, NC

Dr. Basil Michael Yurcisin Ii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4207 Lake Boone Trl Ste 210, Raleigh, NC 27607 Phone: 919-784-4200 Fax: 919-784-2708
Dr. Bo Zhang, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-7331
Dr. Luan Tran, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2245 Gateway Access Pt, Suite 315, Raleigh, NC 27607 Phone: 919-510-8900 Fax: 919-510-8977
Michael Raymond Hall, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4414 Lake Boone Trl Ste 505, Raleigh, NC 27607 Phone: 919-784-2300
Dr. James E Fogartie Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-7600
Dr. Liliana Nanez, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4414 Lake Boone Trl Ste 505, Raleigh, NC 27607 Phone: 919-784-2300 Fax: 919-784-2301
Brenna Kate Houlihan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3024 New Bern Ave Ste 102, Raleigh, NC 27610 Phone: 919-350-7331

Dr Ellen D Dillavou, MD - Medicare Vascular Surgery in Raleigh, NC