Lee Allen Ellingson, CRNA - Medicare Nurse Anesthetist, Certified Registered in Wadena, MN

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Lee Allen Ellingson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Wadena, Minnesota. His current practice location is 415 Jefferson St N, Wadena, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 631-7589.

Lee Allen Ellingson is licensed to practice in Minnesota (license number R1388019) 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 1871511410.

Contact Information

Lee Allen Ellingson, CRNA
415 Jefferson St N,
Wadena, MN 56482-1264
(218) 631-7589
Not Available

Map and Direction




Provider's Profile

Full NameLee Allen Ellingson
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location415 Jefferson St N, Wadena, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871511410
  • Provider Enumeration Date: 07/18/2006
  • Last Update Date: 02/14/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 5496642084
  • Enrollment ID: I20080226000804

Medical Identifiers

Medical identifiers for Lee Allen Ellingson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871511410NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R23296 (North Dakota)Secondary
367500000XNurse Anesthetist, Certified Registered R1388019 (Minnesota)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. Lee Allen Ellingson allows following entities to bill medicare on his behalf.
Entity NameTowner County Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124041389
PECOS PAC ID: 6800798497
Enrollment ID: O20040123000581
Entity NameCavalier County Memorial Hospital Association
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1750328662
PECOS PAC ID: 5092623520
Enrollment ID: O20040216000293
Entity NameNorthwood Deaconess Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356449136
PECOS PAC ID: 1052207057
Enrollment ID: O20040226000123
Entity NameSt Aloisius Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457477218
PECOS PAC ID: 6002802378
Enrollment ID: O20040422000286
Entity NameCavalier County Memorial Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750328662
PECOS PAC ID: 5092623520
Enrollment ID: O20040527000411
Entity NameMercy Hospital Of Valley City
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477549111
PECOS PAC ID: 8729997564
Enrollment ID: O20040701000086
Entity NameCarrington Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558389338
PECOS PAC ID: 0547177552
Enrollment ID: O20040810000314
Entity NameMercy Hospital Of Valley City
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1477549111
PECOS PAC ID: 8729997564
Enrollment ID: O20070611000170
Entity NameSt Aloisius Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1457477218
PECOS PAC ID: 6002802378
Enrollment ID: O20080421000213
Entity NameGrand Forks Anesthesia Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447727946
PECOS PAC ID: 6002151479
Enrollment ID: O20181213001869

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. Lee Allen Ellingson 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 AddressPractice Location Address
Lee Allen Ellingson, CRNA
10170 180th St,
Wadena, MN 56482-4094

Ph: (218) 631-9054		Lee Allen Ellingson, CRNA
415 Jefferson St N,
Wadena, MN 56482-1264

Ph: (218) 631-7589

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Wadena, MN

Mrs. Wendy Amanda Gravelle, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 415 Jefferson St North, Wadena, MN 56482
Phone: 218-631-3510    Fax: 218-631-7496
Rachael Lynn Spear, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 415 Jefferson St N, Wadena, MN 58482
Phone: 218-631-3510    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.