Andrea M Ellis, MD in Tyler, TX - Medicare Family Practice

Andrea M Ellis, MD is a medicare enrolled "Family Medicine" physician in Tyler, Texas. She went to University Of Texas Southwestern Medical School At Dallas and graduated in 2008 and has 16 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Christus Trinity Clinic and her current practice location is 8288 S Broadway Ave, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 606-7060.

Andrea M Ellis is licensed to practice in Texas (license number BP10032729) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063661148.

Contact Information

	Andrea M Ellis, MD
	8288 S Broadway Ave, Tyler, TX 75703-5262
	(903) 606-7060
	Not Available

Map and Direction

Physician's Profile

Full Name	Andrea M Ellis
Gender	Female
Speciality	Family Practice
Experience	16 Years
Location	8288 S Broadway Ave, Tyler, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Andrea M Ellis attended and graduated from University Of Texas Southwestern Medical School At Dallas in 2008

NPI Data:

NPI Number: 1063661148
Provider Enumeration Date: 09/15/2008
Last Update Date: 06/26/2020

Medicare PECOS Information:

PECOS PAC ID: 7810168705
Enrollment ID: I20110926000810

Medical Identifiers

Medical identifiers for Andrea M Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063661148	NPI	-	NPPES
284827701	Medicaid	TX
75-2616977-042	Other	TX	TRICARE
752616977118	Other	TX	TRICARE
752616977077	Other	TX	TRICARE
8CU926	Other	TX	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	BP10032729 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Encompass Home Health Of East Texas	Tyler, TX	Home health agency
Kindred At Home	Temple, TX	Home health agency
Christus Mother Frances Hospital	Tyler, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Christus Trinity Clinic	3072426741	1217

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. Andrea M Ellis allows following entities to bill medicare on her behalf.

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

Entity Name	Mother Frances Hospital Jacksonville
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092

Entity Name	Mother Frances Hospital Regional Health Care Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042

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. Andrea M 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
Andrea M Ellis, MD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6450	Andrea M Ellis, MD 8288 S Broadway Ave, Tyler, TX 75703-5262 Ph: (903) 606-7060

Reviews and Comments

Family Medicine Doctors in Tyler, TX

Dr. John W Scroggins, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8288 S Broadway Ave, Tyler, TX 75703 Phone: 903-606-7060
Dr. James Kent Gray, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 14843 Big Oak Bay Rd, Tyler, TX 75707 Phone: 903-655-0880 Fax: 903-654-6415
Dr. Eric R Smith, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3802 Manhatton, Tyler, TX 75701 Phone: 903-509-8888
Michele C Bosworth, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7777 Fax: 903-877-5080
Dr. James A Lively, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3802 Manhatton Dr, Tyler, TX 75701 Phone: 903-509-8888
Steven J Cohen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-510-8764

Andrea M Ellis, MD - Medicare Family Practice in Tyler, TX