Randal W Ellis, DMD PLLC in Everson, WA - Medicare Dentist Provider

Randal W Ellis, DMD PLLC is a medicare enrolled "Dentist - General Practice" provider in Everson, Washington. His current practice location is 3739 Mt Baker Hwy, Everson, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 592-1100.

Randal W Ellis is licensed to practice in Washington (license number 00008470) 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 1154689636.

Contact Information

	Randal W Ellis, DMD PLLC
	3739 Mt Baker Hwy, Everson, WA 98247-9406
	(360) 592-1100
	(360) 592-5067

Map and Direction

Healthcare Provider's Profile

Full Name	Randal W Ellis
Gender	Male
Speciality	Dentist - General Practice
Location	3739 Mt Baker Hwy, Everson, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154689636
Provider Enumeration Date: 05/02/2012
Last Update Date: 05/03/2012

Medicare PECOS Information:

PECOS PAC ID: 6709104649
Enrollment ID: I20150406001178

Medical Identifiers

Medical identifiers for Randal W Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154689636	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	00008470 (Washington)	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. Randal W 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
Randal W Ellis, DMD PLLC Po Box 608, Deming, WA 98244-0608 Ph: (360) 592-1100	Randal W Ellis, DMD PLLC 3739 Mt Baker Hwy, Everson, WA 98247-9406 Ph: (360) 592-1100

Reviews and Comments

Dentist in Everson, WA

Dr. Douglas L Ross, DMD10 Dentist Medicare: Not Enrolled in Medicare Practice Location: 201 E Main St, Everson, WA 98247 Phone: 360-966-7777 Fax: 360-966-4510
Michael David Barrett, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 201 E Main St, Everson, WA 98247 Phone: 360-966-7777 Fax: 360-966-4510
Mandeep Mandy Alamwala, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3660 Lindsay Rd, Everson, WA 98247 Phone: 360-393-2158
Dr. Daniel T Barrett, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 201 E Main St, Everson, WA 98247 Phone: 360-966-7777
Dr. Burke Pak-king Cheung, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2510 Sulwhanon Drive, Everson, WA 98247 Phone: 360-306-5151 Fax: 360-306-5191

Randal W Ellis, DMD PLLC - Medicare Dentist in Everson, WA