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Primary Practice Address
980 IRONWOOD DR W STE 104
COEUR D' ALENE, ID 83814 US
Accepts Medicare Payment

PECOS Enrolled

Edward D Ellison

Urologist


Edward D Ellison

Overview

Edward D Ellison is a Urologist in the COEUR D' ALENE area and has over 30 years of experience. Edward D Ellison primary office location is at 980 IRONWOOD DR W and new patients are welcome to contact this healthcare provider for an appointment. He attended Oregon Health Sciences University School Of Medicine and graduated 1995

Edward D Ellison is affiliated with five hospitals in the COEUR D' ALENE area, including BENEWAH COMMUNITY HOSPITAL. The NPI number is 1346375235 and the information was updated approximately 13 years ago.

Edward D Ellison is affiliated with one medical group in the COEUR D' ALENE area, NORTH IDAHO UROLOGY PLLC.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Yes

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
980 IRONWOOD DR W STE 104
COEUR D' ALENE, ID 83814 US
Phone: (208)-667-0621
Fax:
Practice Mailing Information
980 IRONWOOD DR W
COEUR D' ALENE, ID 83814 US
Phone: (208)-667-0621
Fax: (208)-664-1709
License Number State
M-8020 ID
Type/Issuer IdentifierState
MEDICAID 805898101 ID
Taxonomy StatePrimary?
Urologist - Taxonomy Code 208800000X IDY

Quality Reporting:

Accepts Medicare Assignment: Yes

If a provider accepts Medicare Assignment, he or she will accept the approved Medicare payment and will not bill for more than the Medicare deductible or coinsurance.If 'maybe' is listed here, the provider might bill you for more than the Medicare amount.

Participates in the Medicare Electronic Health Records(EHR) program by using a certified EHR technology: No
Participates in PQRS reporting quality measures to Medicare as part of an incentive -for-reporting program: No
Participated in the Medicare Maintenance of Certification Program. A "Maintenance of Certification Program" encourages board certified physicians to continue learning and self-evaluating throughout their medical career.: No
Committed to heart health through the Million Hearts� initiative. encourages health care professionals to report and perform well on activities related to heart health in an effort to prevent heart attacks and strokes.: No

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID: I20090314000004
PECOS Individual PAC ID: 1052412707
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) Yes