Bobby J Ellis, MD | |
921 14th Ave Nw, Ardmore, OK 73401-1837 | |
(580) 223-5311 | |
(580) 223-8227 |
Full Name | Bobby J Ellis |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 44 Years |
Location | 921 14th Ave Nw, Ardmore, Oklahoma |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679595144 | NPI | - | NPPES |
200128140A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0417821 (Kansas) | Secondary |
207R00000X | Internal Medicine | 26021 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ideal Home Care, Lp | Ardmore, OK | Home health agency |
Mays Housecall Home Health Of Durant | Durant, OK | Home health agency |
Mercy Home Health Ardmore | Ardmore, OK | Home health agency |
Elara Caring Xxiii | Ada, OK | Home health agency |
Mercy Hospital Ardmore, Inc | Ardmore, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic Oklahoma Communities | 1153468921 | 502 |
Entity Name | Mercy Clinic Oklahoma Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
Mailing Address | Practice Location Address |
---|---|
Bobby J Ellis, MD 4401 W Memorial Rd, 140, Oklahoma City, OK 73134-1785 Ph: (405) 752-3162 | Bobby J Ellis, MD 921 14th Ave Nw, Ardmore, OK 73401-1837 Ph: (580) 223-5311 |
Alexander P. Gurrola, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 812 12th Ave Nw, Ardmore, OK 73401 Phone: 580-226-6500 Fax: 580-226-6524 | |
Carson Shearer, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 20 12th Ave Nw, Ardmore, OK 73401 Phone: 580-223-3411 Fax: 580-226-6213 | |
Dr. Thomas A Papin, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 20 12th Ave Nw, Ardmore, OK 73401 Phone: 580-223-3411 Fax: 580-226-6213 | |
Asif Iqbal, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401 Phone: 580-220-6132 Fax: 580-220-6772 | |
Toribio C Velasquez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 921 14th Ave Nw, Ardmore, OK 73401 Phone: 580-223-5311 Fax: 580-223-8227 | |
Adil Karim, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401 Phone: 580-220-6132 Fax: 580-220-6772 | |
Dr. Bruce Stewart Gilmore, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1015 S Commerce St, Ardmore, OK 73401 Phone: 580-223-2266 Fax: 580-221-5690 |