Justin Craig Ellerbroek, MD is a medicare enrolled "Dermatology" physician in Waterloo, Iowa. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2006 and has 18 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Premier Dermatology Ltd and his current practice location is
441 E San Marnan Dr, Suite 110, Waterloo, Iowa. You can reach out to his office (for appointments etc.) via phone at
(319) 234-6000.
Justin Craig Ellerbroek is licensed to practice in Iowa (license number 38816) 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 1790981207.
Physician's Profile
Full Name | Justin Craig Ellerbroek |
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Gender | Male |
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Speciality | Dermatology |
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Experience | 18 Years |
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Location | 441 E San Marnan Dr, Waterloo, Iowa |
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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:
- Justin Craig Ellerbroek attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2006
NPI Data:
- NPI Number: 1790981207
- Provider Enumeration Date: 06/22/2007
- Last Update Date: 07/30/2015
Medicare PECOS Information:
- PECOS PAC ID: 2264560143
- Enrollment ID: I20100513000798
Medical Identifiers
Medical identifiers for Justin Craig Ellerbroek such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790981207 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 38816 (Iowa) | Primary |
207ND0101X | Dermatology - Mohs-micrographic Surgery | 38816 (Iowa) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Premier Dermatology Ltd | 3173765294 | 3 |
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. Justin Craig Ellerbroek allows following entities to bill medicare on his behalf.
Entity Name | Premier Dermatology Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467898007 PECOS PAC ID: 3173765294 Enrollment ID: O20130820000071 |
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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. Justin Craig Ellerbroek 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 |
Justin Craig Ellerbroek, MD 441 E San Marnan Dr, Suite 110, Waterloo, IA 50702-5900 Ph: (319) 234-6000 | Justin Craig Ellerbroek, MD 441 E San Marnan Dr, Suite 110, Waterloo, IA 50702-5900 Ph: (319) 234-6000 |
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