Dr Samuel Fred Ellison, MD in San Francisco, CA

Dr Samuel Fred Ellison, MD is a medicare enrolled "Dermatology" physician in San Francisco, California. He graduated from medical school in 1975 and has 49 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Csi Medical Group and his current practice location is 2001 Union St, Suite 520, San Francisco, California. You can reach out to his office (for appointments etc.) via phone at (415) 922-3344.

Dr Samuel Fred Ellison is licensed to practice in California (license number A41459) 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 1336228436.

Contact Information

	Dr Samuel Fred Ellison, MD
	2001 Union St, Suite 520, San Francisco, CA 94123-4114
	(415) 922-3344
	(415) 921-7759

Map and Direction

Physician's Profile

Full Name	Dr Samuel Fred Ellison
Gender	Male
Speciality	Dermatology
Experience	49 Years
Location	2001 Union St, San Francisco, California
Accepts Medicare Assignments	Yes. 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 Samuel Fred Ellison graduated from medical school in 1975

NPI Data:

NPI Number: 1336228436
Provider Enumeration Date: 11/02/2006
Last Update Date: 03/11/2024

Medicare PECOS Information:

PECOS PAC ID: 6002800505
Enrollment ID: I20040408000908

Medical Identifiers

Medical identifiers for Dr Samuel Fred Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336228436	NPI	-	NPPES
ZZZ28290Z	Other	CA	MEDICARE GROUP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	A41459 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Csi Medical Group	5890916845	103

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 Samuel Fred Ellison allows following entities to bill medicare on his behalf.

Entity Name	Sutter Bay Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909

Entity Name	Dermatology Center Of San Francisco A Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740507854 PECOS PAC ID: 2264566876 Enrollment ID: O20100818000911

Entity Name	Csi Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871909804 PECOS PAC ID: 5890916845 Enrollment ID: O20141016001930

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 Samuel Fred Ellison 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 Samuel Fred Ellison, MD 2001 Union St, Suite 520, San Francisco, CA 94123-4114 Ph: (415) 922-3344	Dr Samuel Fred Ellison, MD 2001 Union St, Suite 520, San Francisco, CA 94123-4114 Ph: (415) 922-3344

Reviews and Comments

Dermatology Doctors in San Francisco, CA

Sinae Angela Kane, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 350 Parnassus Ave Ste 400, San Francisco, CA 94117 Phone: 415-564-1261
Edwin Yuen, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 199 Ocean Ave, San Francisco, CA 94112 Phone: 415-585-7771 Fax: 415-585-1117
Joel Alan Teisch, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1001 Potrero Ave, Bldg 90 Ward 92 Rm 224, San Francisco, CA 94110 Phone: 415-206-8680 Fax: 415-206-4317
Malcolm Nehemiah Pyles, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1 Daniel Burnham Ct Ste 350c, San Francisco, CA 94109 Phone: 415-771-6300
Deirdre Alexander, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3905 Sacramento St, 201, San Francisco, CA 94118 Phone: 415-387-8007
Dr. Cynthia Lea Chen, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1701 Divisadero St, Third Floor, San Francisco, CA 94115 Phone: 415-353-7800 Fax: 415-353-7870
Michael K Burns, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 450 Sutter St, #932, San Francisco, CA 94108 Phone: 415-362-4565 Fax: 415-362-4562

Dr Samuel Fred Ellison, MD - Medicare Dermatology in San Francisco, CA