Dr Adam Wesley Ellis, MD is a medicare enrolled "Surgery" physician in Russellville, Kentucky. He went to Icahn School Of Medicine At Mount Sinai and graduated in 1994 and has 30 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Logan Physician Practice Llc and his current practice location is
1623 Nashville St, Ste 106, Russellville, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 726-8090.
Dr Adam Wesley Ellis is licensed to practice in Kentucky (license number 40994) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003918731.
Physician's Profile
| Full Name | Dr Adam Wesley Ellis |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 30 Years |
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| Location | 1623 Nashville St, Russellville, Kentucky |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Adam Wesley Ellis attended and graduated from Icahn School Of Medicine At Mount Sinai in 1994
NPI Data:
- NPI Number: 1003918731
- Provider Enumeration Date: 09/02/2006
- Last Update Date: 08/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 8224068028
- Enrollment ID: I20061030000060
Medical Identifiers
Medical identifiers for Dr Adam Wesley Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003918731 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 40994 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Logan Physician Practice Llc | 4880596592 | 7 |
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. Dr Adam Wesley Ellis allows following entities to bill medicare on his behalf.
| Entity Name | Logan Physician Practice Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265740765
PECOS PAC ID: 4880596592
Enrollment ID: O20040219000212 |
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| Entity Name | Apogee Medical Group Kentucky Psc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356503114
PECOS PAC ID: 8820164411
Enrollment ID: O20080905000019 |
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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. Dr Adam Wesley 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 |
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Dr Adam Wesley Ellis, MD
1623 Nashville St, Ste 106,
Russellville, KY 42276-8889
Ph: (270) 726-8090 | Dr Adam Wesley Ellis, MD
1623 Nashville St, Ste 106,
Russellville, KY 42276-8889
Ph: (270) 726-8090 |
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