Dr. Patrice C Ellingson is a Fort Wayne, Indiana based female Optometrist with 34 years of experience in Optometry. She completed her graduation from Indiana University - School Of Optometry in 1990. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Patrice C Ellingson is 18002448 for Optometry in Indiana. Dr. Patrice C Ellingson examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. She completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Patrice C 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:
Optometry
Credentials:
O.D.
Experience:
34+ years
Medical School Attended:
Indiana University - School Of Optometry
Graduation Year:
1990
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
1515 E Paulding Rd, Fort Wayne, Indiana, 46816
Phone:
260-744-2273
Fax:
260-744-4555
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:
4587706684
Enrollment ID:
I20100128000192
NPI Number:
1639163884
NPI Enumeration Date:
02 Sep, 2005
NPI Last Update On:
15 Aug, 2018
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. Patrice C Ellingson are as mentioned below.
License Number
Specialization
State
Status
18002448
Optometry
Indiana
Primary
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. Patrice C Ellingson has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Midwest Eye Consultants Pc (2961399217)
67
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Patrice C Ellingson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000000243494
Other
Indiana
ANTHEM NONPAR
100411890
Medicaid
Indiana
100411890A
Medicaid
Indiana
410017027
Other
Indiana
MEDICARE RR
410040819
Other
Indiana
MEDICARE RR
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1515 E Paulding Rd, Fort Wayne, Indiana
Zip:
46816-1252
Phone Number:
260-744-2273
Fax Number:
260-744-4555
Patients can reach Dr. Patrice C Ellingson at 1515 E Paulding Rd, Fort Wayne, Indiana or can call to book an appointment on 260-744-2273. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.