Robert L Ellison, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Moscow, ID

Robert L Ellison, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Moscow, Idaho. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Moscow Mountain Anesthesia Pllc and his current practice location is 2300 W A St, Moscow, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 883-1500.

Robert L Ellison is licensed to practice in Idaho (license number RNA-209) 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 1265425714.

Contact Information

Robert L Ellison, CRNA
2300 W A St,
Moscow, ID 83843-4038
(208) 883-1500
(208) 882-7701



Physician's Profile

Full NameRobert L Ellison
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience35 Years
Location2300 W A St, Moscow, Idaho
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:
  • Robert L Ellison graduated from medical school in 1989
  NPI Data:
  • NPI Number: 1265425714
  • Provider Enumeration Date: 08/30/2005
  • Last Update Date: 07/13/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 5294712733
  • Enrollment ID: I20040814000049

Medical Identifiers

Medical identifiers for Robert L Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265425714NPI-NPPES
9628264MedicaidWA
A3565OtherIDBC ID
N13917OtherIDIDAHO LICENSE
P00137189OtherRAILROAD MEDICARE
805788500MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology N13917 (Idaho)Secondary
367500000XNurse Anesthetist, Certified Registered RNA-209 (Idaho)Primary
367500000XNurse Anesthetist, Certified Registered AP30004667 (Washington)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Moscow Mountain Anesthesia Pllc40829818815

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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. Robert L Ellison allows following entities to bill medicare on his behalf.
Entity NameMoscow Mountain Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275074486
PECOS PAC ID: 4082981881
Enrollment ID: O20170526001871

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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. Robert L 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
Robert L Ellison, CRNA
Po Box 1829,
Coeur D Alene, ID 83816-1829

Ph: (208) 667-9334
Robert L Ellison, CRNA
2300 W A St,
Moscow, ID 83843-4038

Ph: (208) 883-1500

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