Richard L Ellis, MD in La Crosse, WI

Richard L Ellis, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in La Crosse, Wisconsin. His current practice location is 700 West Ave S, La Crosse, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 785-0940.

Richard L Ellis is licensed to practice in Wisconsin (license number 33381) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1447255500.

Contact Information

	Richard L Ellis, MD
	700 West Ave S, La Crosse, WI 54601
	(608) 785-0940
	Not Available

Map and Direction

Physician's Profile

Full Name	Richard L Ellis
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	700 West Ave S, La Crosse, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447255500
Provider Enumeration Date: 06/16/2005
Last Update Date: 11/01/2024

Medicare PECOS Information:

PECOS PAC ID: 6305749706
Enrollment ID: I20040202000338

Medical Identifiers

Medical identifiers for Richard L Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447255500	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	44431 (Minnesota)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	34354 (Iowa)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	33381 (Wisconsin)	Primary

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. Richard L Ellis allows following entities to bill medicare on his behalf.

Entity Name	Mayo Clinic Health System-lake City
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164463659 PECOS PAC ID: 1951213487 Enrollment ID: O20031104000095

Entity Name	Mayo Clinic Health System-southeast Minnesota Region
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891701637 PECOS PAC ID: 4385556703 Enrollment ID: O20031104000408

Entity Name	Mayo Clinic Health System-southwest Wisconsin Region Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20040708000447

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. Richard L Ellis 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
Richard L Ellis, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (715) 838-5222	Richard L Ellis, MD 700 West Ave S, La Crosse, WI 54601 Ph: (608) 785-0940

Reviews and Comments

Radiology Doctors in La Crosse, WI

Cameron F Roberts, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Brian R Manske, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Dr. Heather Jo Wichman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1900 South Ave, La Crosse, WI 54601 Phone: 608-775-6569
Robert E Wax, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Douglas G Gold, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Mark C Wickre, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Dr. Ezana M Azene, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300

Richard L Ellis, MD - Medicare Radiology in La Crosse, WI