Robert L Ellison, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Moscow, Idaho. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Moscow Mountain Anesthesia Pllc and his current practice location is
2300 W A St, Moscow, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 883-1500.
Robert L Ellison is licensed to practice in Idaho (license number RNA-209) 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 1265425714.
Physician's Profile
| Full Name | Robert L Ellison |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 35 Years |
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| Location | 2300 W A St, Moscow, Idaho |
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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. |
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Medical Education and Training:
- Robert L Ellison graduated from medical school in 1989
NPI Data:
- NPI Number: 1265425714
- Provider Enumeration Date: 08/30/2005
- Last Update Date: 07/13/2010
Medicare PECOS Information:
- PECOS PAC ID: 5294712733
- Enrollment ID: I20040814000049
Medical Identifiers
Medical identifiers for Robert L Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265425714 | NPI | - | NPPES |
| 9628264 | Medicaid | WA | |
| A3565 | Other | ID | BC ID |
| N13917 | Other | ID | IDAHO LICENSE |
| P00137189 | Other | | RAILROAD MEDICARE |
| 805788500 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | N13917 (Idaho) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RNA-209 (Idaho) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP30004667 (Washington) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Moscow Mountain Anesthesia Pllc | 4082981881 | 5 |
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. Robert L Ellison allows following entities to bill medicare on his behalf.
| Entity Name | Moscow Mountain Anesthesia Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275074486
PECOS PAC ID: 4082981881
Enrollment ID: O20170526001871 |
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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. Robert L Ellison 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 |
|---|
Robert L Ellison, CRNA
Po Box 1829,
Coeur D Alene, ID 83816-1829
Ph: (208) 667-9334 | Robert L Ellison, CRNA
2300 W A St,
Moscow, ID 83843-4038
Ph: (208) 883-1500 |
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