Mr Michael V Ellis, DDS is a
Dentist based in Holland, Indiana. Mr Michael V Ellis is licensed to practice in Indiana (license number 12006819) and his current practice location is
305 N Meridian Street, Holland, Indiana. He can be reached at his office (for appointments etc.) via phone at
(812) 536-3011.
NPI number for Mr Michael V Ellis is 1386742526 and his current mailing address is Po Box 38, Holland, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386742526.
Healthcare Provider's Profile
| Full Name | Mr Michael V Ellis |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | 305 N Meridian Street, Holland, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1386742526
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Michael V Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386742526 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 12006819 (Indiana) | 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 Michael V 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 Michael V Ellis, DDS
Po Box 38,
Holland, IN 47541
Ph: (812) 536-3011 | Mr Michael V Ellis, DDS
305 N Meridian Street,
Holland, IN 47541
Ph: (812) 536-3011 |
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