Dr David Jason Ellenbogen, DPM in Charlotte, NC

Dr David Jason Ellenbogen, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Charlotte, North Carolina. He went to New York College Of Podiatric Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Charlotte Limb Preservation And Diabetic Foot Center Pllc, Matrix Rehabilitation-south Carolina, Inc. and his current practice location is 10035 Park Cedar Dr Ste 100, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 442-9011.

Dr David Jason Ellenbogen is licensed to practice in North Carolina (license number 615) 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 1831222090.

Contact Information

	Dr David Jason Ellenbogen, DPM
	10035 Park Cedar Dr Ste 100, Charlotte, NC 28210-8910
	(704) 442-9011
	(704) 625-9484

Map and Direction

Healthcare Provider's Profile

Full Name	Dr David Jason Ellenbogen
Gender	Male
Speciality	Podiatry
Experience	21 Years
Location	10035 Park Cedar Dr Ste 100, Charlotte, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr David Jason Ellenbogen attended and graduated from New York College Of Podiatric Medicine in 2003

NPI Data:

NPI Number: 1831222090
Provider Enumeration Date: 03/14/2007
Last Update Date: 02/14/2023

Medicare PECOS Information:

PECOS PAC ID: 6709986581
Enrollment ID: I20160527001372

Medical Identifiers

Medical identifiers for Dr David Jason Ellenbogen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831222090	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213EP1101X	Podiatrist - Primary Podiatric Medicine	615 (North Carolina)	Secondary
213ES0131X	Podiatrist - Foot Surgery	615 (North Carolina)	Secondary
213ES0103X	Podiatrist - Foot & Ankle Surgery	615 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Carolinas Medical Center-pineville	Charlotte, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Charlotte Limb Preservation And Diabetic Foot Center Pllc	2365821469	2
Matrix Rehabilitation-south Carolina, Inc.	5799694568	22

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 David Jason Ellenbogen allows following entities to bill medicare on his behalf.

Provider Name	Novant Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

Provider Name	Charlotte Limb Preservation & Diabetic Foot Center Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1932856333 PECOS PAC ID: 2365821469 Enrollment ID: O20220621000961

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 David Jason Ellenbogen 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 David Jason Ellenbogen, DPM 10035 Park Cedar Dr Ste 100, Charlotte, NC 28210-8910 Ph: (704) 442-9011	Dr David Jason Ellenbogen, DPM 10035 Park Cedar Dr Ste 100, Charlotte, NC 28210-8910 Ph: (704) 442-9011

Reviews and Comments

Podiatrist in Charlotte, NC

Ms. Chaitalee Vithal Kardani, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 335 Billingsley Rd, Suite 102, Charlotte, NC 28211 Phone: 704-632-8032 Fax: 704-632-8034
Dr. Roshni Gandhi Patel, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5960 Fairview Rd Ste 300, Charlotte, NC 28210 Phone: 888-964-6681 Fax: 888-662-0859
Carmel Foot Specialists, Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 10370 Park Rd, Ste. 100, Charlotte, NC 28210 Phone: 704-542-8253 Fax: 704-541-0186
Dr. Paul I Reiss, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4915 Albemarle Rd, Charlotte, NC 28205 Phone: 704-568-5444 Fax: 704-568-5445
Thomas P Whitfield, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4444 Park Rd, Charlotte, NC 28209 Phone: 704-716-3338 Fax: 704-522-6588
Dr. Reginald Barnette Richardson Jr., DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 3333 Wilkinson Blvd, Charlotte, NC 28208 Phone: 704-737-6126
Instride Foot And Ankle Specialists, Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 11030 S Tryon St, Suite 308, Charlotte, NC 28273 Phone: 704-504-1004

Dr David Jason Ellenbogen, DPM - Medicare Podiatrist in Charlotte, NC