Dr Nicholas C Ellefson, DO - Medicare Hospitalist in Superior, WI

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Dr Nicholas C Ellefson, DO is a medicare enrolled "Family Medicine" physician in Superior, Wisconsin. He went to West Virginia School Of Osteopathic Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice The Duluth Clinic Ltd, St Marys Hospital Of Superior and his current practice location is 3500 Tower Ave, Superior, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 817-7100.

Dr Nicholas C Ellefson is licensed to practice in Wisconsin (license number 71579-21) 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 1639699200.

Contact Information

Dr Nicholas C Ellefson, DO
3500 Tower Ave,
Superior, WI 54880-4491
(715) 817-7100
(715) 817-7039

Map and Direction




Physician's Profile

Full NameDr Nicholas C Ellefson
GenderMale
SpecialityHospitalist
Experience12 Years
Location3500 Tower Ave, Superior, Wisconsin
Accepts Medicare AssignmentsYes. 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 Nicholas C Ellefson attended and graduated from West Virginia School Of Osteopathic Medicine in 2012
  NPI Data:
  • NPI Number: 1639699200
  • Provider Enumeration Date: 06/23/2017
  • Last Update Date: 06/19/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5092089938
  • Enrollment ID: I20200713003364

Medical Identifiers

Medical identifiers for Dr Nicholas C Ellefson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639699200NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 66646 (Minnesota)Secondary
207Q00000XFamily Medicine 3356 (West Virginia)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207Q00000XFamily Medicine 71579-21 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Essentia Health St Mary's Medical CenterDuluth, MNHospital
St Marys Hospital SuperiorSuperior, WIHospital
Essentia Health DuluthDuluth, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Duluth Clinic Ltd2567374283932
St Marys Hospital Of Superior862896422876

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 Nicholas C Ellefson allows following entities to bill medicare on his behalf.
Entity NameThe Duluth Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902563638
PECOS PAC ID: 2567374283
Enrollment ID: O20031103000229

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 Nicholas C Ellefson 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 AddressPractice Location Address
Dr Nicholas C Ellefson, DO
1702 University Dr S,
Fargo, ND 58103-4940

Ph: () -		Dr Nicholas C Ellefson, DO
3500 Tower Ave,
Superior, WI 54880-4491

Ph: (715) 817-7100

Reviews and Comments


Family Medicine Doctors in Superior, WI

Megan J Hoel, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 109 N 28th St E, Superior, WI 54880
Phone: 715-395-3900    Fax: 715-395-3936
Michael John Sterns, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3500 Tower Avenue, Eh St Mary's Superior Clinic, Superior, WI 54880
Phone: 715-817-7100    Fax: 715-817-7039
Jean Elise Hoyer, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3500 Tower Ave, Essentia Health St. Mary's Superior Clinic, Superior, WI 54880
Phone: 715-395-5454    
Dr. Jon Charles Stephenson, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 109 N 28th St E, Superior, WI 54880
Phone: 715-395-3930    
Dr. Amida Gallito, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3520 Tower Ave, Superior, WI 54880
Phone: 715-392-9711    
Daniel Cabot, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3500 Tower Ave, Superior, WI 54880
Phone: 715-395-5454    
Joseph Van Richards, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3500 Tower Ave, Superior, WI 54880
Phone: 715-817-7100    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.