Daryl Ellis, MD | |
5009 River Chase Dr, Suite 500, Phenix City, AL 36867-7425 | |
(334) 448-9505 | |
(334) 448-9575 |
Full Name | Daryl Ellis |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 34 Years |
Location | 5009 River Chase Dr, Phenix City, Alabama |
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 |
---|---|---|---|
1467468355 | NPI | - | NPPES |
009997735 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 00018084 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Gentiva Hospice - Phenix City | Phenix city, AL | Hospice |
Jack Hughston Memorial Hospital | Phenix city, AL | Hospital |
Piedmont Columbus Regional Midtown | Columbus, GA | Hospital |
St Francis Hospital- Emory Healthcare | Columbus, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Columbus Ambulatory Healthcare Services, Inc. | 1355244385 | 98 |
Nes Tennessee, Inc. | 3678472040 | 43 |
Entity Name | Emergency Staffing Solutions Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477590974 PECOS PAC ID: 9830001650 Enrollment ID: O20120612000674 |
Entity Name | Nes Tennessee, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437606605 PECOS PAC ID: 3678472040 Enrollment ID: O20161031002328 |
Entity Name | Columbus Ambulatory Healthcare Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699240531 PECOS PAC ID: 1355244385 Enrollment ID: O20181205003322 |
Mailing Address | Practice Location Address |
---|---|
Daryl Ellis, MD 5009 Riverchase Dr, Suite 500, Phenix City, AL 36867-7490 Ph: (334) 448-9505 | Daryl Ellis, MD 5009 River Chase Dr, Suite 500, Phenix City, AL 36867-7425 Ph: (334) 448-9505 |
Michael W Johnston, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 Windsweep Ct, Phenix City, AL 36870 Phone: 334-297-5555 Fax: 334-297-5525 | |
Dr. Gary Amon Dillard, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1810 Stadium Drive Ste 240, Phenix City, AL 36867 Phone: 334-291-8303 Fax: 334-291-8325 | |
Richard A Valentine, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1615 21st Ct, Phenix City, AL 36867 Phone: 334-297-4883 | |
Alexa Paige Jones, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3700 Ste A S Railroad St, Phenix City, AL 36867 Phone: 334-664-0463 | |
Julia Jane Sieth, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1615 21st Ct, Phenix City, AL 36867 Phone: 334-297-4883 | |
Dr. Kimberly Ann Funches-jackson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1810 Stadium Dr, Suite 210, Phenix City, AL 36867 Phone: 334-297-1085 |