Dr Kathleen Ellison, MD - Medicare Dermatology in Fairfax, VA

Dr Kathleen Ellison, MD is a medicare enrolled "Dermatology" physician in Fairfax, Virginia. She went to East Tennessee State University Quillen College Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Derm Associates Llc and her current practice location is 8316 Arlington Blvd Ste 400, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 641-0083.

Dr Kathleen Ellison is licensed to practice in Virginia (license number 0101267527) 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 1134516271.

Contact Information

Dr Kathleen Ellison, MD
8316 Arlington Blvd Ste 400,
Fairfax, VA 22031-5216
(703) 641-0083
(703) 641-0085



Physician's Profile

Full NameDr Kathleen Ellison
GenderFemale
SpecialityDermatology
Experience9 Years
Location8316 Arlington Blvd Ste 400, Fairfax, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kathleen Ellison attended and graduated from East Tennessee State University Quillen College Of Medicine in 2015
  NPI Data:
  • NPI Number: 1134516271
  • Provider Enumeration Date: 04/15/2015
  • Last Update Date: 10/09/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0244541449
  • Enrollment ID: I20190906000197

Medical Identifiers

Medical identifiers for Dr Kathleen Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134516271NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 0101267527 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Derm Associates Llc468865330636

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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. Dr Kathleen Ellison allows following entities to bill medicare on her behalf.
Entity NameDerm Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649271354
PECOS PAC ID: 4688653306
Enrollment ID: O20040716000237

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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. Dr Kathleen 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
Dr Kathleen Ellison, MD
5310 Harvest Hill Rd Ste 290,
Dallas, TX 75230-5826

Ph: (214) 420-0650
Dr Kathleen Ellison, MD
8316 Arlington Blvd Ste 400,
Fairfax, VA 22031-5216

Ph: (703) 641-0083

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Dermatology Doctors in Fairfax, VA

Benjamin Behnoud Nia, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 3700 Joseph Siewick Dr Ste 302, Fairfax, VA 22033
Phone: 703-648-2488    Fax: 703-648-2489
Dr. Caleb Lee, D.O.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 10100 Fairfax Blvd, Fairfax, VA 22030
Phone: 703-679-1876    
Dr. Monica Nabil Saleh Valentin, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 11351 Random Hills Rd, Fairfax, VA 22030
Phone: 443-351-3376    
Jack Michael Costa, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3650 Joseph Siewick Dr, Suite 202, Fairfax, VA 22033
Phone: 703-391-2516    Fax: 703-476-8244
Dr. Amanda Derwae, M.D.
Dermatology
Medicare: Medicare Enrolled
Practice Location: 10680 Main St Ste 200, Fairfax, VA 22030
Phone: 703-352-2620    
Dr. Rolla Jaber, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3700 Joseph Siewick Dr, Suite 403, Fairfax, VA 22033
Phone: 703-648-2488    Fax: 703-648-2489

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