Mr Nicholas Wesley Ely, MD in Redlands, CA

Mr Nicholas Wesley Ely, MD is a medicare enrolled "Family Medicine" physician in Redlands, California. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Graybill Medical Group Inc and his current practice location is 26001 Redlands Blvd, Redlands, California. You can reach out to his office (for appointments etc.) via phone at (909) 825-7084.

Mr Nicholas Wesley Ely is licensed to practice in California (license number 174039) 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 1770089757.

Contact Information

	Mr Nicholas Wesley Ely, MD
	26001 Redlands Blvd, Redlands, CA 92373-7762
	(909) 825-7084
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Nicholas Wesley Ely
Gender	Male
Speciality	Family Practice
Experience	6 Years
Location	26001 Redlands Blvd, Redlands, 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:

Mr Nicholas Wesley Ely graduated from medical school in 2018

NPI Data:

NPI Number: 1770089757
Provider Enumeration Date: 03/30/2018
Last Update Date: 12/22/2023

Medicare PECOS Information:

PECOS PAC ID: 0446507842
Enrollment ID: I20211011001139

Medical Identifiers

Medical identifiers for Mr Nicholas Wesley Ely such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770089757	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	174039 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Graybill Medical Group Inc	9335050517	104

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. Mr Nicholas Wesley Ely allows following entities to bill medicare on his behalf.

Entity Name	Graybill Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891729745 PECOS PAC ID: 9335050517 Enrollment ID: O20040108000857

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. Mr Nicholas Wesley 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
Mr Nicholas Wesley Ely, MD 31537 Rancho Pueblo Rd Ste 102, Temecula, CA 92592-4841 Ph: (760) 291-6700	Mr Nicholas Wesley Ely, MD 26001 Redlands Blvd, Redlands, CA 92373-7762 Ph: (909) 825-7084

Reviews and Comments

Family Medicine Doctors in Redlands, CA

Salma Mohammadi Green, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 245 Terracina Blvd Ste 102, Redlands, CA 92373 Phone: 909-792-2605
Dr. Katrina Carter, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1600 E Citrus Ave, Redlands, CA 92374 Phone: 909-794-3682
Calvin G Hagglov, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25828 Redlands Blvd Ste 102, Redlands, CA 92373 Phone: 909-558-6600
Grace Marie Hecker, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1910 Orange Tree Ln Ste 344, Redlands, CA 92374 Phone: 909-792-1388 Fax: 097-487-9259
Shantharam Pai, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2 W Fern Ave, Redlands, CA 92373 Phone: 909-799-7111
Dr. Veena Mysore, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 25828 Redlands Blvd Ste 102, Redlands, CA 92373 Phone: 909-558-6600
Horst R Rudrich, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 255 Terracina Blvd, Ste. 105, Redlands, CA 92373 Phone: 909-793-0323 Fax: 909-793-9173

Mr Nicholas Wesley Ely, MD - Medicare Family Practice in Redlands, CA