Jeanine M Ellinwood, MD is a medicare enrolled "Internal Medicine" physician in Diamond Springs, California. Her current practice location is
6520 Pleasant Valley Rd, Diamond Springs, California. You can reach out to her office (for appointments etc.) via phone at
(530) 621-7820.
Jeanine M Ellinwood is licensed to practice in California (license number G80715) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790782902.
Physician's Profile
| Full Name | Jeanine M Ellinwood |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 6520 Pleasant Valley Rd, Diamond Springs, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790782902
- Provider Enumeration Date: 07/01/2005
- Last Update Date: 11/23/2011
Medicare PECOS Information:
- PECOS PAC ID: 5799857678
- Enrollment ID: I20080709000649
Medical Identifiers
Medical identifiers for Jeanine M Ellinwood such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790782902 | NPI | - | NPPES |
| 110131834 | Other | CA | RAILROAD MEDICARE |
| C006 | Other | CA | TRICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | G80715 (California) | Primary |
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. Jeanine M Ellinwood 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 |
Jeanine M Ellinwood, MD 6520 Pleasant Valley Rd, Diamond Springs, CA 95619-9512 Ph: (530) 621-7820 | Jeanine M Ellinwood, MD 6520 Pleasant Valley Rd, Diamond Springs, CA 95619-9512 Ph: (530) 621-7820 |
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