Mr Gary Arnold Ellis, is a
Case Manager/care Coordinator based in Fresno, California. Mr Gary Arnold Ellis is licensed to practice in * (Not Available) (license number ) and his current practice location is
3765 W Dakota Ave, Fresno, California. He can be reached at his office (for appointments etc.) via phone at
(556) 271-8421.
NPI number for Mr Gary Arnold Ellis is 1114690187 and his current mailing address is 4460 W Shaw Ave # 595, Fresno, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114690187.
Healthcare Provider's Profile
| Full Name | Mr Gary Arnold Ellis |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 3765 W Dakota Ave, Fresno, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1114690187
- Provider Enumeration Date: 07/27/2021
- Last Update Date: 10/21/2024
Medical Identifiers
Medical identifiers for Mr Gary Arnold Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114690187 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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. Mr Gary Arnold Ellis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Gary Arnold Ellis,
4460 W Shaw Ave # 595,
Fresno, CA 93722-6210
Ph: (559) 261-5083 | Mr Gary Arnold Ellis,
3765 W Dakota Ave,
Fresno, CA 93722-4784
Ph: (556) 271-8421 |
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