Gregory Ely, MD is a medicare enrolled "Emergency Medicine" physician in Peridot, Arizona. He went to University Of Nebraska College Of Medicine and graduated in 2016 and has 9 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Dhhs Ihs Phoenix Area and his current practice location is
103 Medicine Way Rd, Peridot, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 475-1400.
Gregory Ely is licensed to practice in Arizona (license number 58573) 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 1528416088.
Physician's Profile
| Full Name | Gregory Ely |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 9 Years |
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| Location | 103 Medicine Way Rd, Peridot, Arizona |
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| 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:
- Gregory Ely attended and graduated from University Of Nebraska College Of Medicine in 2016
NPI Data:
- NPI Number: 1528416088
- Provider Enumeration Date: 05/25/2016
- Last Update Date: 07/12/2019
Medicare PECOS Information:
- PECOS PAC ID: 6204190630
- Enrollment ID: I20200218000552
Medical Identifiers
Medical identifiers for Gregory Ely such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1528416088 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 58573 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Dhhs Ihs Phoenix Area | 9436325420 | 37 |
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. Gregory Ely allows following entities to bill medicare on his behalf.
| Entity Name | The Fort Defiance Indian Hospital Board, Incorporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153 |
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| Entity Name | Dhhs Ihs Phoenix Area |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356628028 PECOS PAC ID: 9436325420 Enrollment ID: O20120222000148 |
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| Entity Name | San Carlos Apache Healthcare Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265813075 PECOS PAC ID: 0648580597 Enrollment ID: O20151105002091 |
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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. Gregory Ely 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 |
Gregory Ely, MD 4756 E 10th St, Tucson, AZ 85711-3006 Ph: () - | Gregory Ely, MD 103 Medicine Way Rd, Peridot, AZ 85542-5000 Ph: (928) 475-1400 |
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