Mr Eugene Ellis, CRNA - Medicare Nurse Anesthetist, Certified Registered in San Ramon, CA

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Mr Eugene Ellis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in San Ramon, California. His current practice location is 5801 North Canyon Rd, Suite 230, San Ramon, California. You can reach out to his office (for appointments etc.) via phone at (925) 275-9910.

Mr Eugene Ellis is licensed to practice in California (license number NA3473) 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 1740311513.

Contact Information

Mr Eugene Ellis, CRNA
5801 North Canyon Rd, Suite 230,
San Ramon, CA 94583-5440
(925) 275-9910
(925) 275-9823

Map and Direction




Provider's Profile

Full NameMr Eugene Ellis
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location5801 North Canyon Rd, San Ramon, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740311513
  • Provider Enumeration Date: 03/07/2007
  • Last Update Date: 11/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8426155862
  • Enrollment ID: I20070521000247

Medical Identifiers

Medical identifiers for Mr Eugene Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740311513NPI-NPPES
RN4261510MedicaidCA
NA0034730OtherCABLUE SHIELD OF CA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 3473 (California)Secondary
367500000XNurse Anesthetist, Certified Registered NA3473 (California)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. Mr Eugene Ellis allows following entities to bill medicare on his behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823

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 Eugene 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 AddressPractice Location Address
Mr Eugene Ellis, CRNA
1385 Holloway Ave,
San Francisco, CA 94132-2664

Ph: (415) 867-0177		Mr Eugene Ellis, CRNA
5801 North Canyon Rd, Suite 230,
San Ramon, CA 94583-5440

Ph: (925) 275-9910

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in San Ramon, CA

Christine Ballard Engelbrecht, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5201 Norris Canyon Rd Ste 100, San Ramon, CA 94583
Phone: 925-973-0605    Fax: 925-973-0653
Patricia Christine Gonzalez, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 5801 Norris Canyon Rd, Ste 230, San Ramon, CA 94583
Phone: 925-275-9910    Fax: 925-275-9823
Mr. Kevin Alan Hamby, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5801 Norris Canyon Rd Ste 230, San Ramon, CA 94583
Phone: 925-275-9910    Fax: 925-275-9823

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.