Stephen M Ellestad, DO - Medicare Emergency Medicine in Decorah, IA

Stephen M Ellestad, DO is a medicare enrolled "Emergency Medicine" physician in Decorah, Iowa. His current practice location is 502 Mound St, Decorah, Iowa. You can reach out to his office (for appointments etc.) via phone at (563) 382-0118.

Stephen M Ellestad is licensed to practice in Iowa (license number 02380) 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 1124009634.

Contact Information

Stephen M Ellestad, DO
502 Mound St,
Decorah, IA 52101-1508
(563) 382-0118
Not Available



Physician's Profile

Full NameStephen M Ellestad
GenderMale
SpecialityEmergency Medicine
Location502 Mound St, Decorah, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124009634
  • Provider Enumeration Date: 11/10/2005
  • Last Update Date: 04/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3971527839
  • Enrollment ID: I20060118000424

Medical Identifiers

Medical identifiers for Stephen M Ellestad such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124009634NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 02380 (Iowa)Primary

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. Stephen M Ellestad allows following entities to bill medicare on his behalf.
Entity NamePocahontas Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609989581
PECOS PAC ID: 7012820012
Enrollment ID: O20031106000417

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Entity IdentifiersNPI Number: 1689721318
PECOS PAC ID: 9739080425
Enrollment ID: O20040115001023

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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. Stephen M Ellestad 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
Stephen M Ellestad, DO
502 Mound St,
Decorah, IA 52101-1508

Ph: (563) 382-0118
Stephen M Ellestad, DO
502 Mound St,
Decorah, IA 52101-1508

Ph: (563) 382-0118

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› Verified 6 days ago


Emergency Medicine Doctors in Decorah, IA

Dr. Christopher R Cooper, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 901 Montgomery St, Decorah, IA 52101
Phone: 563-382-2911    Fax: 563-382-4143
Dr. Sandy Kay Clayton, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 901 Montgomery St., Medical Staff Services, Decorah, IA 52101
Phone: 563-382-2911    Fax: 563-382-4143
Gregory Madsen, PA-C
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 901 Montgomery St, Decorah, IA 52101
Phone: 563-382-2911    

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