Terry Randal Ellis, DMD in Augusta, GA - Medicare Dentist Provider

Terry Randal Ellis, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Augusta, Georgia. His current practice location is 1244 Augusta West Parkway, Augusta, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 855-7220.

Terry Randal Ellis is licensed to practice in Georgia (license number DN011393) 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 1255307831.

Contact Information

	Terry Randal Ellis, DMD
	1244 Augusta West Parkway, Augusta, GA 30909
	(706) 855-7220
	(706) 855-7260

Map and Direction

Healthcare Provider's Profile

Full Name	Terry Randal Ellis
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	1244 Augusta West Parkway, Augusta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255307831
Provider Enumeration Date: 02/24/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5193968865
Enrollment ID: I20130828000166

Medical Identifiers

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

Identifier	Type	State	Issuer
1255307831	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	DN011393 (Georgia)	Primary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	254190 (Mississippi)	Secondary

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. Terry Randal Ellis allows following entities to bill medicare on his behalf.

Entity Name	Terry R. Ellis, Dmd, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558795930 PECOS PAC ID: 1557504214 Enrollment ID: O20130828000038

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. Terry Randal 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
Terry Randal Ellis, DMD 1244 Augusta West Parkway, Augusta, GA 30909 Ph: (706) 855-7220	Terry Randal Ellis, DMD 1244 Augusta West Parkway, Augusta, GA 30909 Ph: (706) 855-7220

Reviews and Comments

Dentist in Augusta, GA

Dr. Geoffrey Allen Thompson, DDS, MS Dentist Medicare: Medicare Enrolled Practice Location: 1430 John Wesley Gilbert Drive, Augusta, GA 30912 Phone: 706-721-2371 Fax: 706-721-6778
Dr. Steven Kent Nelson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1459 Laney Walker Blvd, Ad1501, Augusta, GA 30912 Phone: 706-721-0502 Fax: 706-721-6778
Dr. John S. Blalock, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 3606 Wheeler Rd., Augusta, GA 30909 Phone: 706-481-8811 Fax: 706-481-8507
Dr. Theodore D Ravenel V, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1430 John Wesley Gilbert Drive, Augusta, GA 30912 Phone: 706-721-2371 Fax: 706-721-6778
Dr. Logan Nalley Iii, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3643 Walton Way Ext, Bldg. 1, Augusta, GA 30909 Phone: 706-733-8641 Fax: 706-733-8615
Dr. Tobin Trotter, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 525 Pleasant Home Rd, Augusta, GA 30907 Phone: 706-860-2442
Dr. Eyitemi Elete, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3456 Wrightsboro Rd, Augusta, GA 30909 Phone: 706-251-7917

Terry Randal Ellis, DMD - Medicare Dentist in Augusta, GA