Dr Thomas Richard Ellenberger Jr, MD in Johnstown, PA

Dr Thomas Richard Ellenberger Jr, MD is a medicare enrolled "Internal Medicine" physician in Johnstown, Pennsylvania. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 1975 and has 49 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Dlp Conemaugh Memorial Medical Center Llc, Vantage Physical Therapy And Rehabilitation Inc and his current practice location is 321 Main St, Suite 5d, Johnstown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 535-7885.

Dr Thomas Richard Ellenberger Jr is licensed to practice in Pennsylvania (license number MD018414E) 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 1508818410.

Contact Information

	Dr Thomas Richard Ellenberger Jr, MD
	321 Main St, Suite 5d, Johnstown, PA 15901-1632
	(814) 535-7885
	(814) 535-7079

Map and Direction

Physician's Profile

Full Name	Dr Thomas Richard Ellenberger Jr
Gender	Male
Speciality	Internal Medicine
Experience	49 Years
Location	321 Main St, Johnstown, Pennsylvania
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 Thomas Richard Ellenberger Jr attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 1975

NPI Data:

NPI Number: 1508818410
Provider Enumeration Date: 05/17/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5799834099
Enrollment ID: I20090515000294

Medical Identifiers

Medical identifiers for Dr Thomas Richard Ellenberger Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508818410	NPI	-	NPPES
0006378450001	Medicaid	PA
027796	Other	PA	HIGHMARK
0743755	Other		UMWA
11978	Other	PA	UPMC HEALTH PLAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD018414E (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Conemaugh Memorial Medical Center	Johnstown, PA	Hospital
Chan Soon- Shiong Medical Center At Windber	Windber, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dlp Conemaugh Memorial Medical Center Llc	8022238682	9
Vantage Physical Therapy And Rehabilitation Inc	3072424886	168

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 Thomas Richard Ellenberger Jr allows following entities to bill medicare on his behalf.

Entity Name	Thomas R. Ellenberger, Jr Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325592 PECOS PAC ID: 6406905702 Enrollment ID: O20090515000316

Entity Name	Dlp Conemaugh Memorial Medical Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669873881 PECOS PAC ID: 8022238682 Enrollment ID: O20141015000769

Entity Name	Dlp Conemaugh Miners Medical Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629471768 PECOS PAC ID: 2860612439 Enrollment ID: O20141030001653

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 Thomas Richard Ellenberger Jr 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 Thomas Richard Ellenberger Jr, MD 130 Rolling Hills Rd, Johnstown, PA 15905-5224 Ph: (814) 535-7885	Dr Thomas Richard Ellenberger Jr, MD 321 Main St, Suite 5d, Johnstown, PA 15901-1632 Ph: (814) 535-7885

Reviews and Comments

Internal Medicine Doctors in Johnstown, PA

Ashish Jain, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1086 Franklin St Dept Of, Johnstown, PA 15905 Phone: 814-534-9104 Fax: 814-534-3559
Michael Voloshin, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 337 Somerset St, John P Murtha Pavillion, Johnstown, PA 15901 Phone: 814-534-4724
Samir A Hadeed, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 374 Theatre Dr, Johnstown, PA 15904 Phone: 814-619-4587 Fax: 814-254-4154
Talha Mehmood, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9803
George J Frem, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 88 Osborne St, Johnstown, PA 15905 Phone: 814-539-0798 Fax: 814-536-4751
Yazeed Ghaleb Wadee Sweedan, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9104 Fax: 814-534-3559
Waseem Zaid Alkilani, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1086 Franklin St, Internal Medicine Residency Program E3322, Johnstown, PA 15905 Phone: 814-534-9104

Dr Thomas Richard Ellenberger Jr, MD - Medicare Internal Medicine in Johnstown, PA