Dr Michael Barry Ellis, DMD,PA in Vicksburg, MS

Dr Michael Barry Ellis, DMD,PA is a medicare enrolled "Dentist - General Practice" provider in Vicksburg, Mississippi. His current practice location is 1008 Mission Park Dr, Vicksburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 629-4100.

Dr Michael Barry Ellis is licensed to practice in Mississippi (license number 204783) 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 1619995743.

Contact Information

	Dr Michael Barry Ellis, DMD,PA
	1008 Mission Park Dr, Vicksburg, MS 39180-3735
	(601) 629-4100
	(601) 629-4101

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Michael Barry Ellis
Gender	Male
Speciality	Dentist - General Practice
Location	1008 Mission Park Dr, Vicksburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619995743
Provider Enumeration Date: 07/17/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9638470065
Enrollment ID: I20151209000647

Medical Identifiers

Medical identifiers for Dr Michael Barry Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619995743	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	204783 (Mississippi)	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 Michael Barry 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 Michael Barry Ellis, DMD,PA 1008 Mission Park Dr, Vicksburg, MS 39180-3735 Ph: (601) 629-4100	Dr Michael Barry Ellis, DMD,PA 1008 Mission Park Dr, Vicksburg, MS 39180-3735 Ph: (601) 629-4100

Reviews and Comments

Dentist in Vicksburg, MS

Roderick L Coleman, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 120 Holt Collier Dr, Suite D, Vicksburg, MS 39183 Phone: 601-619-4777 Fax: 601-619-4667
Dr. Ollie Hardaway Jr., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 154 Cottonwood Street, Vicksburg, MS 39180 Phone: 662-873-4593 Fax: 662-873-4112
Jimmy F Vessell, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1011 Mission 66, Vicksburg, MS 39183 Phone: 601-636-6081 Fax: 601-638-5482
Dr. Margaret Ellzey-nichols, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 1212 Mission 66, Vicksburg, MS 39183 Phone: 601-636-5321 Fax: 601-636-5321
Mr. Pierce Mil Morgan, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 1008 Mission Park Dr, Vicksburg, MS 39180 Phone: 601-629-4101
Dr. Paul Edward Ballard, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3040 Indiana Ave, Vicksburg, MS 39180 Phone: 601-634-6277 Fax: 601-634-0153
Dr. Robert A Sadler, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1016 Mission 66, Vicksburg, MS 39183 Phone: 601-638-3661

Dr Michael Barry Ellis, DMD,PA - Medicare Dentist in Vicksburg, MS