Dennard W Ellison, MD - Medicare Allergy/immunology in Alamosa, CO

Dennard W Ellison, MD is a medicare enrolled "Otolaryngology" physician in Alamosa, Colorado. He went to University Of Florida College Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Lutheran Hospital Association Of The San Luis Valley, Parkview Ancillary Services Corporation and his current practice location is 106 Blanca Ave, San Luis Valley Regional Medical Center, Alamosa, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 589-8025.

Dennard W Ellison is licensed to practice in Colorado (license number 48628) 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 1285728659.

Contact Information

Dennard W Ellison, MD
106 Blanca Ave, San Luis Valley Regional Medical Center,
Alamosa, CO 81101-2340
(719) 589-8025
(719) 589-8087



Physician's Profile

Full NameDennard W Ellison
GenderMale
SpecialityAllergy/immunology
Experience38 Years
Location106 Blanca Ave, Alamosa, Colorado
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dennard W Ellison attended and graduated from University Of Florida College Of Medicine in 1986
  NPI Data:
  • NPI Number: 1285728659
  • Provider Enumeration Date: 10/03/2006
  • Last Update Date: 05/05/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0244371128
  • Enrollment ID: I20100614000085

Medical Identifiers

Medical identifiers for Dennard W Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285728659NPI-NPPES
COA100184OtherCOMEDICARE PTAN
00182257MedicaidCO
52787761MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 20020441 (New Mexico)Secondary
207Y00000XOtolaryngology 48628 (Colorado)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
San Luis Valley HealthAlamosa, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lutheran Hospital Association Of The San Luis Valley4789589094110
Parkview Ancillary Services Corporation4385722511267

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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. Dennard W Ellison allows following entities to bill medicare on his behalf.
Entity NameLutheran Hospital Association Of The San Luis Valley
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235181744
PECOS PAC ID: 4789589094
Enrollment ID: O20031201000318

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Entity NameParkview Ancillary Services Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982878765
PECOS PAC ID: 4385722511
Enrollment ID: O20080429000248

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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. Dennard W 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 AddressPractice Location Address
Dennard W Ellison, MD
106 Blanca Ave, San Luis Valley Regional Medical Center,
Alamosa, CO 81101-2340

Ph: (719) 589-8025
Dennard W Ellison, MD
106 Blanca Ave, San Luis Valley Regional Medical Center,
Alamosa, CO 81101-2340

Ph: (719) 589-8025

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Otolaryngology Doctors in Alamosa, CO


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