Dr Herman Martin Ellis, MD | |
100 Biddle Ave Ste 101, Newark, DE 19702-3982 | |
(410) 505-8605 | |
(240) 770-0436 |
Full Name | Dr Herman Martin Ellis |
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Gender | Male |
Speciality | Preventive Medicine - Addiction Medicine |
Location | 100 Biddle Ave Ste 101, Newark, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386768612 | NPI | - | NPPES |
Entity Name | The Life Center Complex, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770808578 PECOS PAC ID: 6800038076 Enrollment ID: O20130819000252 |
Entity Name | Clh Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275270936 PECOS PAC ID: 6800270976 Enrollment ID: O20220908003499 |
Entity Name | Choice Recovery House |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306539226 PECOS PAC ID: 5092176982 Enrollment ID: O20230725000979 |
Mailing Address | Practice Location Address |
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Dr Herman Martin Ellis, MD 9123 Old Annapolis Rd Ste 203&204, Columbia, MD 21045-1953 Ph: (410) 505-8605 | Dr Herman Martin Ellis, MD 100 Biddle Ave Ste 101, Newark, DE 19702-3982 Ph: (410) 505-8605 |
Frederick M Williams, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 4110 Staton- Ogletown Road, Newark, DE 19713 Phone: 615-778-4066 | |
Dr. Michael Arthur Kennedy, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 62 N. Chapel St, #100, Physicians Group, Llc, Newark, DE 19711 Phone: 302-737-6099 Fax: 302-737-6299 |