Dr Thomas Charles Ellis, DC is a medicare enrolled "Chiropractor" provider in Wilson, Oklahoma. He went to Logan College Of Chiropractic and graduated in 1995 and has 29 years of diverse experience with area of expertise as Chiropractic. His current practice location is
122 Mulberry Ln, Wilson, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 668-3600.
Dr Thomas Charles Ellis is licensed to practice in Oklahoma (license number 3267) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700893054.
Healthcare Provider's Profile
| Full Name | Dr Thomas Charles Ellis |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 29 Years |
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| Location | 122 Mulberry Ln, Wilson, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Thomas Charles Ellis attended and graduated from Logan College Of Chiropractic in 1995
NPI Data:
- NPI Number: 1700893054
- Provider Enumeration Date: 08/01/2006
- Last Update Date: 06/26/2014
Medicare PECOS Information:
- PECOS PAC ID: 3274538665
- Enrollment ID: I20060918000267
Medical Identifiers
Medical identifiers for Dr Thomas Charles Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700893054 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 3267 (Oklahoma) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Thomas Charles Ellis allows following entities to bill medicare on his behalf.
| Provider Name | Ellis Health Center, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1679799308
PECOS PAC ID: 4587746532
Enrollment ID: O20080129000689 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Thomas Charles Ellis is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Thomas Charles Ellis, DC
122 Mulberry Ln,
Wilson, OK 73463-6203
Ph: (580) 668-3600 | Dr Thomas Charles Ellis, DC
122 Mulberry Ln,
Wilson, OK 73463-6203
Ph: (580) 668-3600 |
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