JOHN MASOU ELLISON M.D. NPI 1093845943

Emergency Medicine in Monterey, CA

NPI 1093845943 Individual Male Years of Experience 32 Emergency Medicine PECOS Enrolled Accepts Medicare Approved Payment

About JOHN ELLISON

John Ellison is a provider established in Monterey, California and his medical specialization is emergency medicine with more than 32 years of experience. He graduated from University Of California, San Diego School Of Medicine in 1990. The NPI number of John Ellison is 1093845943 and was assigned on March 2007. The practitioner's primary taxonomy code is 207P00000X with license number G79299 (CA). The provider is registered as an individual and his NPI record was last updated 15 years ago.

John Ellison is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

John Ellison is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Community Hospital Of The Monterey Peninsula.

NPI

1093845943

Provider Name JOHN MASOU ELLISON M.D.
Provider Location Address23625 WR HOLMAN HIGHWAY MONTEREY, CA 93940
Provider Mailing AddressPO BOX HH BUSINESS DEVELOPMENT DEPARTMENT MONTEREY, CA 93940
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduation Year1990
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date03-07-2007
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
License No.G79299
License StateCA
Taxonomy DescriptionAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Business Address

JOHN MASOU ELLISON M.D.
23625 WR HOLMAN HIGHWAY
MONTEREY, CA
ZIP 93940
Phone: (831) 624-5311
Fax: (831) 625-4948

Get Directions


Mailing Address

JOHN MASOU ELLISON M.D.
PO BOX HH
BUSINESS DEVELOPMENT DEPARTMENT
MONTEREY, CA
ZIP 93940
Phone: (831) 622-2716
Fax: (831) 625-4764



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID2466434766
PECOS Enrollment IDI20081013000323
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. John Ellison is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA23625 W R HOLMAN HIGHWAY
MONTEREY, CA 93940
(831) 624-5311Acute Care Hospitals50145

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
F78946MEDICARE UPIN (02)CA
00G792990MEDICARE ID-TYPE UNSPECIFIED (04)CA

Other Providers at the same location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265466304 HARRY I BROWN M.D.
Individual
Anesthesiology23625 WR HOLMAN HIGHWAY
MONTEREY, CA 93940
(831) 624-5311
1902908205 MICHELLE BARTH M.S., R.D., C.D.E.
Individual
Dietitian, Registered23625 WR HOLMAN HIGHWAY
MONTEREY, CA 93940
(831) 624-5311
1043312358 FREDERICK ZIEGLER M.D.
Individual
Psychiatry & Neurology (Psychiatry)23625 WR HOLMAN HIGHWAY
MONTEREY, CA 93940
(831) 624-5311
1306949672 ROBERT M KEANEY D.O.
Individual
Emergency Medicine23625 WR HOLMAN HIGHWAY
MONTEREY, CA 93940
(831) 624-5311
1114020484 LEAH L HOPKINS M.S., R.D.
Individual
Dietitian, Registered23625 WR HOLMAN HIGHWAY
MONTEREY, CA 93940
(831) 624-5311
1588758023 MAURINE MOODY M.F.T.
Individual
Marriage & Family Therapist23625 WR HOLMAN HIGHWAY
MONTEREY, CA 93940
(831) 624-5311
1801965942 DENNIS MICHAEL O'CONNOR M.D.
Individual
Psychologist23625 WR HOLMAN HIGHWAY
MONTEREY, CA 93940
(831) 624-5311
1982772414 JACK EARL ENGLISH M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)23625 WR HOLMAN HIGHWAY
MONTEREY, CA 93940
(831) 624-5311
1487700050 ALAIN CHRISTOPHE CLAUDEL P.T.
Individual
Physical Therapist23625 WR HOLMAN HIGHWAY
MONTEREY, CA 93940
(831) 624-5311
1235273376 SOTERIA E KARAHALIOS M.D.
Individual
Internal Medicine (Cardiovascular Disease)23625 WR HOLMAN HIGHWAY
MONTEREY, CA 93940
(831) 624-5311
1346440864 EDWARD HATTON M.D.
Individual
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)23625 WR HOLMAN HIGHWAY
MONTEREY, CA 93940
(831) 624-5311
1457453763 WAYNE LAVENGOOD
Individual
Social Worker (Clinical)23625 WR HOLMAN HIGHWAY
MONTEREY, CA 93940
(831) 624-5311
1073615381 ANN ELIZABETH BISPO C.N.S., M.S.N., R.N.
Individual
Clinical Nurse Specialist (Psychiatric/Mental Health)23625 WR HOLMAN HIGHWAY
MONTEREY, CA 93940
(831) 624-5311
1811090749 MICHAEL LEBOWITZ M.D.
Individual
Psychiatry & Neurology (Psychiatry)23625 WR HOLMAN HIGHWAY
MONTEREY, CA 93940
(831) 624-5311
1801981311 DAVID HOLLEY M.D.
Individual
Radiology (Radiation Oncology)23625 WR HOLMAN HIGHWAY
MONTEREY, CA 93940
(831) 624-5311
1740377001 PATRICK FEEHAN D.O.
Individual
Radiology (Radiation Oncology)23625 WR HOLMAN HIGHWAY
MONTEREY, CA 93940
(831) 624-5311
1316001159 WILLIAM FITHIAN M.D.
Individual
Psychiatry & Neurology (Psychiatry)23625 WR HOLMAN HIGHWAY
MONTEREY, CA 93940
(831) 624-5311
1912932211DR. JEFFREY BARNUM MD
Individual
Hospitalist23625 WR HOLMAN HIGHWAY
MONTEREY, CA 93940
(831) 622-2708

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.