Elizabeth Martinez-ellingham, PHD, LP in Minneapolis, MN - Medicare Clinical Psychologist Provider

Elizabeth Martinez-ellingham, PHD, LP is a medicare enrolled "Psychologist" provider in Minneapolis, Minnesota. She graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice University Of Minnesota Physicians and her current practice location is 2426 W Broadway Ave, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 302-8200.

Elizabeth Martinez-ellingham is licensed to practice in Minnesota (license number LP6636) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1437717717.

Contact Information

	Elizabeth Martinez-ellingham, PHD, LP
	2426 W Broadway Ave, Minneapolis, MN 55411-1735
	(612) 302-8200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Elizabeth Martinez-ellingham
Gender	Female
Speciality	Clinical Psychologist
Experience	7 Years
Location	2426 W Broadway Ave, Minneapolis, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Elizabeth Martinez-ellingham graduated from medical school in 2019

NPI Data:

NPI Number: 1437717717
Provider Enumeration Date: 06/03/2019
Last Update Date: 07/10/2026

Medicare PECOS Information:

PECOS PAC ID: 1254739998
Enrollment ID: I20211009000001

Medical Identifiers

Medical identifiers for Elizabeth Martinez-ellingham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437717717	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	LP6636 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Minnesota Physicians	9830001189	149

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. Elizabeth Martinez-ellingham allows following entities to bill medicare on her behalf.

Entity Name	University Of Minnesota Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532

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. Elizabeth Martinez-ellingham 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
Elizabeth Martinez-ellingham, PHD, LP 2426 W Broadway Ave, Minneapolis, MN 55411-1735 Ph: (612) 302-8200	Elizabeth Martinez-ellingham, PHD, LP 2426 W Broadway Ave, Minneapolis, MN 55411-1735 Ph: (612) 302-8200

Reviews and Comments

Psychologist in Minneapolis, MN

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Mary Melton, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 909 Fulton St Se, Building 2, Minneapolis, MN 55455 Phone: 612-672-7422
Dr. Virginia Anne Mcdermott, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 825 Nicollet Mall, Suite 1630, Minneapolis, MN 55402 Phone: 612-673-9988
Dr. Diane Louise Stellrecht, PHD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4027 County Road 25, Minneapolis, MN 55416 Phone: 612-925-6033 Fax: 612-925-8496

Elizabeth Martinez-ellingham, PHD, LP - Medicare Psychologist in Minneapolis, MN