Edward Ellis Iii, DDS MS in San Antonio, TX

Edward Ellis Iii, DDS MS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in San Antonio, Texas. His current practice location is 7703 Floyd Curl Dr, Mc 7908, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 567-3465.

Edward Ellis Iii is licensed to practice in Texas (license number 15787) 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 1750348199.

Contact Information

	Edward Ellis Iii, DDS MS
	7703 Floyd Curl Dr, Mc 7908, San Antonio, TX 78229-3901
	(210) 567-3465
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Edward Ellis Iii
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	7703 Floyd Curl Dr, San Antonio, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750348199
Provider Enumeration Date: 04/28/2006
Last Update Date: 01/31/2017

Medicare PECOS Information:

PECOS PAC ID: 5496899007
Enrollment ID: I20100220000194

Medical Identifiers

Medical identifiers for Edward Ellis Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750348199	NPI	-	NPPES
111043901	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	15787 (Texas)	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. Edward Ellis Iii allows following entities to bill medicare on his behalf.

Entity Name	University Of Texas Southwestern Medical Center At Dallas
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792

Entity Name	University Of Texas Health Science Center At San Antonio
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720051717 PECOS PAC ID: 0042128548 Enrollment ID: O20040607000664

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. Edward Ellis Iii 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
Edward Ellis Iii, DDS MS 8210 Floyd Curl Dr, Mc 8124, San Antonio, TX 78229-3923 Ph: (210) 450-3131	Edward Ellis Iii, DDS MS 7703 Floyd Curl Dr, Mc 7908, San Antonio, TX 78229-3901 Ph: (210) 567-3465

Reviews and Comments

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Edward Ellis Iii, DDS MS - Medicare Dentist in San Antonio, TX