Dr David Ellens, | |
4120 Us Highway 98 N Ste 200, Lakeland, FL 33809-3882 | |
(863) 940-3147 | |
(863) 940-3141 |
Full Name | Dr David Ellens |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 32 Years |
Location | 4120 Us Highway 98 N Ste 200, Lakeland, Florida |
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 |
---|---|---|---|
1780785402 | NPI | - | NPPES |
115783900 | Medicaid | FL | |
036088924 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036088924 (Illinois) | Secondary |
207R00000X | Internal Medicine | ME156236 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Vitas Healthcare Corporation Of Florida | Melbourne, FL | Hospice |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Home Alliance, Llc | 6406096536 | 75 |
Entity Name | Medical Home Alliance, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740527811 PECOS PAC ID: 6406096536 Enrollment ID: O20130712000249 |
Mailing Address | Practice Location Address |
---|---|
Dr David Ellens, 6675 Westwood Blvd Ste 475, Orlando, FL 32821-6027 Ph: (407) 845-0330 | Dr David Ellens, 4120 Us Highway 98 N Ste 200, Lakeland, FL 33809-3882 Ph: (863) 940-3147 |
Dr. Elijah Kim, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1324 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-687-1321 Fax: 863-284-1786 | |
Dr. Julia Mcneice, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7190 Fax: 866-264-8519 | |
Christian Abreu-ramirez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1324 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-687-1100 | |
Robert H Bevis, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7190 Fax: 866-264-8519 | |
Dr. Lilliam S. Chiques-colon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-264-8519 | |
Dr. Lijian Wang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-264-8519 | |
Eric Lipson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7190 Fax: 866-264-8519 |