Matthew Ellingson, DMD - Medicare Dentist in Apo, AE

Matthew Ellingson, DMD is a medicare enrolled "Dentist - General Practice" provider in Apo, Armed Forces Europe. His current practice location is Cmr 480 Box 1675, Apo, Armed Forces Europe. You can reach out to his office (for appointments etc.) via phone at (491) 609-1789820.

Matthew Ellingson is licensed to practice in Arizona (license number D008284) 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 1588908370.

Contact Information

Matthew Ellingson, DMD
Cmr 480 Box 1675,
Apo, AE 09128-0017
(491) 609-1789820
Not Available



Healthcare Provider's Profile

Full NameMatthew Ellingson
GenderMale
SpecialityDentist - General Practice
LocationCmr 480 Box 1675, Apo, Armed Forces Europe
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588908370
  • Provider Enumeration Date: 11/16/2012
  • Last Update Date: 11/16/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 0840592267
  • Enrollment ID: I20151231000727

Medical Identifiers

Medical identifiers for Matthew Ellingson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588908370NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice D008284 (Arizona)Primary

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. Matthew 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
Matthew Ellingson, DMD
Cmr 480 Box 1675,
Apo, AE 09128-0017

Ph: () -
Matthew Ellingson, DMD
Cmr 480 Box 1675,
Apo, AE 09128-0017

Ph: (491) 609-1789820

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