Dr John Ellison, OD in Roy, UT - Medicare Optometrist Provider

Dr John Ellison, OD is a medicare enrolled "Optometrist" provider in Roy, Utah. His current practice location is 5421 S 1900 W, Roy, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 825-9703.

Dr John Ellison is licensed to practice in Utah (license number 6617396-9934) 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 1376713586.

Contact Information

	Dr John Ellison, OD
	5421 S 1900 W, Roy, UT 84067-2908
	(801) 825-9703
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr John Ellison
Gender	Male
Speciality	Optometrist
Location	5421 S 1900 W, Roy, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376713586
Provider Enumeration Date: 03/04/2008
Last Update Date: 11/12/2018

Medicare PECOS Information:

PECOS PAC ID: 5799678306
Enrollment ID: I20130927000440

Medical Identifiers

Medical identifiers for Dr John Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376713586	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	6617396-9934 (Utah)	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. Dr John Ellison allows following entities to bill medicare on his behalf.

Provider Name	Standard Optical Co
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1093816548 PECOS PAC ID: 8224921390 Enrollment ID: O20040203000787

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. Dr John 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
Dr John Ellison, OD 5421 S 1900 W, Roy, UT 84067-2908 Ph: (801) 825-9703	Dr John Ellison, OD 5421 S 1900 W, Roy, UT 84067-2908 Ph: (801) 825-9703

Reviews and Comments

Optometrist in Roy, UT

Dr. Stacy Lynn Rencher, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4896 S 1900 W, Roy, UT 84067 Phone: 801-773-2999
Standard Optical Co Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5421 S 19th W, Roy, UT 84067 Phone: 801-825-9703 Fax: 801-825-5349
Dr Roy R Gibson & Associates Optometrists P C Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5690 S 3750 W, Roy, UT 84067 Phone: 801-985-4141
Aaron Max Hartman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5421 S 19th W, Roy, UT 84067 Phone: 801-825-9703 Fax: 801-825-5349

Dr John Ellison, OD - Medicare Optometrist in Roy, UT