Dr. Clinton Ellingson is a Idaho Falls, Idaho based male Ophthalmologist with 13 years of experience in Ophthalmology. He completed his graduation from Pennsylvania State University College Of Medicine in 2011. He is also affiliated with hospitals like Eastern Idaho Regional Medical Center. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Clinton Ellingson is M-15285 in Idaho. Dr. Clinton Ellingson is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
Dr. Clinton Ellingson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Ophthalmology
Credentials:
MD
Experience:
13+ years
Medical School Attended:
Pennsylvania State University College Of Medicine
Graduation Year:
2011
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
2100 Providence Way, Idaho Falls, Idaho, 83404-4951
Phone:
208-529-6600
Fax:
208-529-6602
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4587979430
Enrollment ID:
I20180810002657
NPI Number:
1326332776
NPI Enumeration Date:
02 Jun, 2011
NPI Last Update On:
05 Aug, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Clinton Ellingson are as mentioned below.
License Number
Specialization
State
Status
M-15285
Idaho
Primary
49026
Ophthalmology
Kentucky
Secondary
01080410A
Ophthalmology
Indiana
Secondary
49026
Kentucky
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Eastern Idaho Regional Medical Center (130018)
Idaho falls, ID
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Clinton Ellingson has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Talley Medical-surgical Eye Care Associates Pc (3779551122)
10
Talley Medical-surgical Eye Care Associates Pc (3779551122)
10
Premier Eye Care Of Eastern Idaho Pllc (2466611744)
6
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Clinton Ellingson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1326332776
Medicaid
West Virginia
0160321
Medicaid
Ohio
1326332776
Medicaid
Idaho
7100279250
Medicaid
Kentucky
300021246
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2100 Providence Way, Idaho Falls, Idaho
Zip:
83404-4951
Phone Number:
208-529-6600
Fax Number:
208-529-6600
Patients can reach Dr. Clinton Ellingson at 2100 Providence Way, Idaho Falls, Idaho or can call to book an appointment on 208-529-6600. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.