Charles T Ellis, MD | |
2600 Winny Ave., Helena, MT 59601 | |
(406) 422-0414 | |
(612) 465-1397 |
Full Name | Charles T Ellis |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2600 Winny Ave., Helena, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124196845 | NPI | - | NPPES |
0000914460 | Other | MT | BLUE CROSS-SHIELD OF MONTANA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 11196 (Montana) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | MD60191799 (Washington) | Secondary |
Entity Name | Sierra Vista Regional Health Center Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043575483 PECOS PAC ID: 3779732854 Enrollment ID: O20121004000679 |
Mailing Address | Practice Location Address |
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Charles T Ellis, MD 2047 N. Last Chance Gulch #167, Helena, MT 59601 Ph: (406) 422-0414 | Charles T Ellis, MD 2600 Winny Ave., Helena, MT 59601 Ph: (406) 422-0414 |
Dr. Deanna L. Armstrong, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2755 Colonial Dr, Helena, MT 59601 Phone: 406-444-7500 Fax: 406-884-2085 | |
Michelle C Mccall, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1225 Birch St, Helena, MT 59601 Phone: 406-443-2977 Fax: 406-443-2960 | |
Dr. Andrea Lee Mow, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2550 E Broadway St, Helena, MT 59601 Phone: 406-457-4180 | |
Dr. Bridgid Elizabeth Crowley, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2550 E Broadway St, Helena, MT 59601 Phone: 406-457-4180 | |
Dr. Bruce T. Smith, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 111 N Last Chance Gulch St, Helena, MT 59601 Phone: 406-447-1863 | |
Katherine B Rappaport, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2755 Colonial Dr, Helena, MT 59601 Phone: 406-444-7500 |