Dr Jason Lee Ellis, DC | |
7250 France Ave S., 300 A, Edina, MN 55435-4346 | |
(952) 835-4772 | |
(763) 207-8381 |
Full Name | Dr Jason Lee Ellis |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 7250 France Ave S., Edina, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700914140 | NPI | - | NPPES |
3I335EL | Other | MN | BCBS |
CC1343A | Other | MN | CHIROCARE |
716650 | Other | MN | ACN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 4989 (Minnesota) | Primary |
111N00000X | Chiropractor | 2301009298 (Michigan) | Secondary |
Provider Name | Vitality Life Chiropractic, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1992988216 PECOS PAC ID: 2860576576 Enrollment ID: O20080219000733 |
Mailing Address | Practice Location Address |
---|---|
Dr Jason Lee Ellis, DC 7250 France Ave S, 300a, Edina, MN 55435-4313 Ph: (952) 835-4772 | Dr Jason Lee Ellis, DC 7250 France Ave S., 300 A, Edina, MN 55435-4346 Ph: (952) 835-4772 |
Dr. Ryan Robert Fischer, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3300 Edinborough Way, Suite 108, Edina, MN 55435 Phone: 920-915-3913 | |
Romanie Health Services, P.a. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5325 W 74th St Ste 9, Edina, MN 55439 Phone: 952-835-6653 Fax: 952-835-3895 | |
Integrated Provider Group Of Minnesota Chiropractor Medicare: Medicare Enrolled Practice Location: 7373 France Ave S, Edina, MN 55435 Phone: 877-414-2533 | |
Dr. Davis Bates, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7400 Metro Blvd Ste 222, Edina, MN 55439 Phone: 952-207-2186 | |
Mellin Chiropractic Care Clinic, P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3300 Edinborough Way, Suite 108, Edina, MN 55435 Phone: 952-921-0333 Fax: 952-832-0766 | |
Caron Barnowsky, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7220 York Ave S Apt 110, Edina, MN 55435 Phone: 320-250-3861 | |
Pdr Southdale, Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3400 W 66th St, Suite 450, Edina, MN 55435 Phone: 952-908-2700 |