Dr Eric Lee Ellis, MD | |
77 Lincoln Blvd Ste 1, Lincoln, CA 95648-7422 | |
(916) 258-2751 | |
(916) 258-7172 |
Full Name | Dr Eric Lee Ellis |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 23 Years |
Location | 77 Lincoln Blvd Ste 1, Lincoln, California |
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 |
---|---|---|---|
1215968409 | NPI | - | NPPES |
CA333419 | Other | CA | MC PIN |
00A863170 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A86317 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sutter Roseville Medical Center | Roseville, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Eric L Ellis Md Inc | 9032458815 | 14 |
Entity Name | Cep America - California |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
Entity Name | Mmc Emergency Physicians Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285670406 PECOS PAC ID: 7911809215 Enrollment ID: O20040927001225 |
Entity Name | Chico Emergency Physicians Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578598058 PECOS PAC ID: 0345277349 Enrollment ID: O20050721000294 |
Entity Name | Glenn Medical Center, Inc |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1336187178 PECOS PAC ID: 3870505035 Enrollment ID: O20070705000269 |
Entity Name | Pinnacle Emergency Physicians Of Bakersfield, A Professional Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619153251 PECOS PAC ID: 7214086321 Enrollment ID: O20090520000375 |
Entity Name | Acute Medical Providers Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942571146 PECOS PAC ID: 1153589874 Enrollment ID: O20120225000135 |
Entity Name | Eric L Ellis Md Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386118305 PECOS PAC ID: 9032458815 Enrollment ID: O20190222002332 |
Mailing Address | Practice Location Address |
---|---|
Dr Eric Lee Ellis, MD 77 Lincoln Blvd Ste 1, Lincoln, CA 95648-7422 Ph: (916) 258-2751 | Dr Eric Lee Ellis, MD 77 Lincoln Blvd Ste 1, Lincoln, CA 95648-7422 Ph: (916) 258-2751 |