Dr Jeffrey Mark Ellis, DDS, MS,CNS in Medford, NY

Dr Jeffrey Mark Ellis, DDS, MS,CNS is a medicare enrolled "Dentist - General Practice" provider in Medford, New York. His current practice location is 3237 Route 112, Bldg 6, Medford, New York. You can reach out to his office (for appointments etc.) via phone at (631) 698-6934.

Dr Jeffrey Mark Ellis is licensed to practice in New York (license number 039551) 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 1417087719.

Contact Information

	Dr Jeffrey Mark Ellis, DDS, MS,CNS
	3237 Route 112, Bldg 6, Medford, NY 11763-1424
	(631) 698-6934
	(631) 698-5361

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jeffrey Mark Ellis
Gender	Male
Speciality	Dentist - General Practice
Location	3237 Route 112, Medford, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417087719
Provider Enumeration Date: 03/06/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2466474127
Enrollment ID: I20150428000952

Medical Identifiers

Medical identifiers for Dr Jeffrey Mark Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417087719	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	039551 (New York)	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. Dr Jeffrey Mark 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
Dr Jeffrey Mark Ellis, DDS, MS,CNS 3237 Route 112, Bldg 6, Medford, NY 11763-1424 Ph: (631) 698-6934	Dr Jeffrey Mark Ellis, DDS, MS,CNS 3237 Route 112, Bldg 6, Medford, NY 11763-1424 Ph: (631) 698-6934

Reviews and Comments

Dentist in Medford, NY

Wanyu Liu, Dentist Medicare: Medicare Enrolled Practice Location: 3201 Horseblock Rd, Medford, NY 11763 Phone: 631-730-5255 Fax: 631-730-5256
Dr. Justin Ohnigian, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1645 Route 112 Ste B, Medford, NY 11763 Phone: 516-458-2592
Dr. Scott Louis Goldstein, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1719 N Ocean Ave Ste C, Medford, NY 11763 Phone: 631-654-4242
Dean F Raio, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1739-d North Ocean Avenue, Medford, NY 11763 Phone: 631-447-8073 Fax: 631-447-8026
Dr. Mark Barry Kahn, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1645 Route 112, Suite A, Medford, NY 11763 Phone: 631-289-1555 Fax: 631-289-1545
Dr. Anthony William Fazio, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2600 Route 112, Medford, NY 11763 Phone: 631-475-3345 Fax: 631-475-1090
Dr. Jennifer Mackey, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1739 N Ocean Ave, Ste D, Medford, NY 11763 Phone: 631-447-8073

Dr Jeffrey Mark Ellis, DDS, MS,CNS - Medicare Dentist in Medford, NY