Evan Lawton Ellis, DC in Towson, MD - Medicare Chiropractor Provider

Evan Lawton Ellis, DC is a medicare enrolled "Chiropractor" provider in Towson, Maryland. His current practice location is 1122 Kenilworth Dr Ste 109, Towson, Maryland. You can reach out to his office (for appointments etc.) via phone at (443) 901-4200.

Evan Lawton Ellis is licensed to practice in Maryland (license number S04102) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619646171.

Contact Information

	Evan Lawton Ellis, DC
	1122 Kenilworth Dr Ste 109, Towson, MD 21204-2141
	(443) 901-4200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Evan Lawton Ellis
Gender	Male
Speciality	Chiropractor
Location	1122 Kenilworth Dr Ste 109, Towson, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619646171
Provider Enumeration Date: 09/08/2021
Last Update Date: 09/08/2021

Medicare PECOS Information:

PECOS PAC ID: 3072982610
Enrollment ID: I20221203000430

Medical Identifiers

Medical identifiers for Evan Lawton Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619646171	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	S04102 (Maryland)	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. Evan Lawton Ellis allows following entities to bill medicare on his behalf.

Provider Name	Neubaum Wellness Group Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1023654290 PECOS PAC ID: 3779913215 Enrollment ID: O20200423001551

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. Evan Lawton 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
Evan Lawton Ellis, DC 1122 Kenilworth Dr # 106, Towson, MD 21204-2139 Ph: (443) 901-4200	Evan Lawton Ellis, DC 1122 Kenilworth Dr Ste 109, Towson, MD 21204-2141 Ph: (443) 901-4200

Reviews and Comments

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Evan Lawton Ellis, DC - Medicare Chiropractor in Towson, MD