Dr John Blaise Ellery Iii, MD in Sequim, WA

Dr John Blaise Ellery Iii, MD is a medicare enrolled "Family Medicine" physician in Sequim, Washington. His current practice location is 808 N 5th Ave, Sequim, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 683-5900.

Dr John Blaise Ellery Iii is licensed to practice in Washington (license number MD61439050) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962039511.

Contact Information

	Dr John Blaise Ellery Iii, MD
	808 N 5th Ave, Sequim, WA 98382-3045
	(360) 683-5900
	(360) 582-4800

Map and Direction

Physician's Profile

Full Name	Dr John Blaise Ellery Iii
Gender	Male
Speciality	Family Medicine
Location	808 N 5th Ave, Sequim, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962039511
Provider Enumeration Date: 03/24/2020
Last Update Date: 04/22/2024

Medicare PECOS Information:

PECOS PAC ID: 3870915333
Enrollment ID: I20230817002345

Medical Identifiers

Medical identifiers for Dr John Blaise Ellery Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962039511	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD61439050 (Washington)	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 John Blaise Ellery Iii allows following entities to bill medicare on his behalf.

Entity Name	Jamestown S'klallam Tribe
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134181555 PECOS PAC ID: 2365349495 Enrollment ID: O20050507000057

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 John Blaise Ellery Iii 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 John Blaise Ellery Iii, MD 808 N 5th Ave, Sequim, WA 98382-3045 Ph: (360) 683-5900	Dr John Blaise Ellery Iii, MD 808 N 5th Ave, Sequim, WA 98382-3045 Ph: (360) 683-5900

Reviews and Comments

Family Medicine Doctors in Sequim, WA

Mrs. Rita Kathryn Wise, ARNP, MSN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 417 Greywolf Rd, Sequim, WA 98382 Phone: 360-582-9233 Fax: 360-582-9233
Charles D Sullivan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 840 N 5th Ave, Ste 2100, Sequim, WA 98382 Phone: 360-582-2850 Fax: 360-582-2851
Mr. Michael W Crim, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 808 N 5th Ave, Sequim, WA 98382 Phone: 360-683-5900 Fax: 360-582-4800
Donald C Manuele, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 808 N 5th Ave, Sequim, WA 98382 Phone: 360-683-5900 Fax: 360-582-4800
Lisa May Wu, M.D., M.P.H. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 808 N 5th Ave, Sequim, WA 98382 Phone: 360-683-5900 Fax: 360-582-4800
Mark S Redlin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 808 N 5th Ave, Sequim, WA 98382 Phone: 360-683-5900 Fax: 360-582-4800
Militza Ausmanas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 840 N 5th Ave, Suite 2100, Sequim, WA 98382 Phone: 360-582-2850 Fax: 360-582-2851

Dr John Blaise Ellery Iii, MD - Medicare Family Medicine in Sequim, WA