Dr Wladislaw V Ellis, MD in Grass Valley, CA - Medicare Interventional Pain Management

Dr Wladislaw V Ellis, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Grass Valley, California. He went to University Of California, Geffen School Of Medicine and graduated in 1970 and has 54 years of diverse experience with area of expertise as Interventional Pain Management. His current practice location is 13847 Mallory Ct, Grass Valley, California. You can reach out to his office (for appointments etc.) via phone at (510) 849-4703.

Dr Wladislaw V Ellis is licensed to practice in California (license number A24351) 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 1992702039.

Contact Information

	Dr Wladislaw V Ellis, MD
	13847 Mallory Ct, Grass Valley, CA 95949
	(510) 849-4703
	(530) 477-6092

Physician's Profile

Full Name	Dr Wladislaw V Ellis
Gender	Male
Speciality	Interventional Pain Management
Experience	54 Years
Location	13847 Mallory Ct, Grass Valley, California
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 Wladislaw V Ellis attended and graduated from University Of California, Geffen School Of Medicine in 1970

NPI Data:

NPI Number: 1992702039
Provider Enumeration Date: 07/05/2005
Last Update Date: 11/16/2018

Medicare PECOS Information:

PECOS PAC ID: 6204934102
Enrollment ID: I20070530000508

Medical Identifiers

Medical identifiers for Dr Wladislaw V Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992702039	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208VP0014X	Pain Medicine - Interventional Pain Medicine	A24351 (California)	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. Dr Wladislaw V Ellis 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 Wladislaw V Ellis, MD 13847 Mallory Ct, Grass Valley, CA 95949-7658 Ph: (510) 849-4703	Dr Wladislaw V Ellis, MD 13847 Mallory Ct, Grass Valley, CA 95949 Ph: (510) 849-4703

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Pain Medicine Doctors in Grass Valley, CA

Stephen Banister, M.D.
Pain Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1117 E Main St, Suite C, Grass Valley, CA 95945
Phone: 530-274-2274

Dr Wladislaw V Ellis, MD - Medicare Interventional Pain Management in Grass Valley, CA