Dr Ellen De Moll, MD is a medicare enrolled "Dermatology" physician in New Canaan, Connecticut. She went to University Of Connecticut School Of Medicine and graduated in 2015 and has 10 years of diverse experience with area of expertise as Dermatology. Her current practice location is
38 East Ave, New Canaan, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 200-0523.
Dr Ellen De Moll is licensed to practice in Connecticut (license number 64827) 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 1518349877.
Physician's Profile
| Full Name | Dr Ellen De Moll |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 10 Years |
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| Location | 38 East Ave, New Canaan, Connecticut |
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| 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 De Moll attended and graduated from University Of Connecticut School Of Medicine in 2015
NPI Data:
- NPI Number: 1518349877
- Provider Enumeration Date: 06/23/2015
- Last Update Date: 01/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 4981902509
- Enrollment ID: I20200923000875
Medical Identifiers
Medical identifiers for Dr Ellen De Moll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1518349877 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207N00000X | Dermatology | 64827 (Connecticut) | Primary |
Medical Facilities Affiliation
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 De Moll allows following entities to bill medicare on her behalf.
| Entity Name | Connecticut Skinhealth Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649606385 PECOS PAC ID: 9638309362 Enrollment ID: O20140225001960 |
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| Entity Name | Elite Dermatology Physicians Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003644402 PECOS PAC ID: 0749729986 Enrollment ID: O20240830003280 |
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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. Dr Ellen De Moll 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 De Moll, MD 38 East Ave, New Canaan, CT 06840-5516 Ph: () - | Dr Ellen De Moll, MD 38 East Ave, New Canaan, CT 06840-5516 Ph: (203) 200-0523 |
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