Dr George Frederick Ellis, MD | |
89 W Copeland Dr, Orlando, FL 32806-2002 | |
(321) 842-6910 | |
(321) 843-5998 |
Full Name | Dr George Frederick Ellis |
---|---|
Gender | Male |
Speciality | Urology |
Location | 89 W Copeland Dr, Orlando, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033144597 | NPI | - | NPPES |
273075800 | Medicaid | FL | |
ME49437 | Other | FL | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 163161 (New York) | Primary |
208800000X | Urology | ME49437 (Florida) | Secondary |
Entity Name | Orlando Health Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
Mailing Address | Practice Location Address |
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Dr George Frederick Ellis, MD 571 Saint Josephs Blvd, Fl 2, Elmira, NY 14901-3230 Ph: (607) 271-2050 | Dr George Frederick Ellis, MD 89 W Copeland Dr, Orlando, FL 32806-2002 Ph: (321) 842-6910 |
Robert Anthony Badalament, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-897-3499 Fax: 407-896-9454 | |
Nabil Hilwa, MD Urology Medicare: Medicare Enrolled Practice Location: 7301 Stonerock Cir, Orlando, FL 32819 Phone: 407-298-6950 Fax: 407-578-2354 | |
Albert Michael Ong, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 41 W Kaley St, Orlando, FL 32806 Phone: 407-843-6645 Fax: 407-843-4519 | |
Jason Cheng-en Sea, MD, FRCSC Urology Medicare: Accepting Medicare Assignments Practice Location: 2101 Park Center Dr Ste 130, Orlando, FL 32835 Phone: 407-298-6950 Fax: 407-578-2354 | |
Joshua Adam Earl, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1812 N Mills Ave, Orlando, FL 32803 Phone: 407-897-3499 Fax: 407-896-9454 | |
Dr. Lucas Ross Wiegand, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 303 E Par St, Orlando, FL 32804 Phone: 877-876-3627 Fax: 321-843-4101 |