Dr Carmen Jay Ellie Jr, MD | |
191 N Main St, Wellsville, NY 14895-1150 | |
(585) 235-1514 | |
(585) 426-4997 |
Full Name | Dr Carmen Jay Ellie Jr |
---|---|
Gender | Male |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 191 N Main St, Wellsville, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922042225 | NPI | - | NPPES |
110179566 | Other | NY | RRM LEGACY# |
000523980003 | Other | NY | BCBS |
01487365 | Medicaid | NY | |
P00392597 | Other | NY | RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 191341-1 (New York) | Primary |
Entity Name | Carthage Area Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053497388 PECOS PAC ID: 9931010485 Enrollment ID: O20040209000856 |
Entity Name | The Memorial Hospital Of William F And Gertrude F Jones Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720030703 PECOS PAC ID: 7012828486 Enrollment ID: O20040310000938 |
Entity Name | Delphi Hospitalist Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922270420 PECOS PAC ID: 5395819478 Enrollment ID: O20080807000352 |
Entity Name | Delphi Healthcare Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003075029 PECOS PAC ID: 9537229661 Enrollment ID: O20081119000839 |
Entity Name | Workfit Medical Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275851818 PECOS PAC ID: 3678709557 Enrollment ID: O20131125000270 |
Mailing Address | Practice Location Address |
---|---|
Dr Carmen Jay Ellie Jr, MD 345 Country Woods Ln, Rochester, NY 14626-4701 Ph: (585) 225-9230 | Dr Carmen Jay Ellie Jr, MD 191 N Main St, Wellsville, NY 14895-1150 Ph: (585) 235-1514 |
Dr. Tamara Ann Prull, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 191 N Main St, Wellsville, NY 14895 Phone: 585-247-6810 Fax: 315-589-9406 | |
Dr. Chiemeka Joseph Nwokonko, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 191 N Main St, Wellsville, NY 14895 Phone: 585-247-6810 Fax: 315-589-9406 |