Colette Mark Ellis, MD - Medicare General Practice in Fairborn, OH

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Colette Mark Ellis, MD is a medicare enrolled "General Practice" physician in Fairborn, Ohio. Her current practice location is 1059 Baywood Dr, Fairborn, Ohio. You can reach out to her office (for appointments etc.) via phone at (713) 339-0341.

Colette Mark Ellis is licensed to practice in Texas (license number S8030) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629530225.

Contact Information

Colette Mark Ellis, MD
1059 Baywood Dr,
Fairborn, OH 45324-2647
(713) 339-0341
Not Available

Map and Direction




Physician's Profile

Full NameColette Mark Ellis
GenderFemale
SpecialityGeneral Practice
Location1059 Baywood Dr, Fairborn, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629530225
  • Provider Enumeration Date: 04/02/2019
  • Last Update Date: 07/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1658609342
  • Enrollment ID: I20200915001233

Medical Identifiers

Medical identifiers for Colette Mark Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629530225NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery S8030 (Texas)Secondary
208D00000XGeneral Practice S8030 (Texas)Primary

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. Colette Mark Ellis allows following entities to bill medicare on her behalf.
Entity NameRobert Marriott Medical Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083883938
PECOS PAC ID: 2567531494
Enrollment ID: O20090518000379
Entity NameVohra Post Acute Care Physicians Of Texas, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821424789
PECOS PAC ID: 0042447682
Enrollment ID: O20131205001723

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. Colette Mark 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 AddressPractice Location Address
Colette Mark Ellis, MD
1059 Baywood Dr,
Fairborn, OH 45324-2647

Ph: (713) 339-0341		Colette Mark Ellis, MD
1059 Baywood Dr,
Fairborn, OH 45324-2647

Ph: (713) 339-0341

Reviews and Comments


General Practice Doctors in Fairborn, OH


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.