Dr James David Ellner, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Woodstock, Georgia. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Interventional Pain Management. His current practice location is
120 Stonebridge Pkwy, Suite 420, Woodstock, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 544-1000.
Dr James David Ellner is licensed to practice in Georgia (license number 035861) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720138696.
Physician's Profile
| Full Name | Dr James David Ellner |
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| Gender | Male |
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| Speciality | Interventional Pain Management |
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| Experience | 36 Years |
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| Location | 120 Stonebridge Pkwy, Woodstock, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr James David Ellner graduated from medical school in 1988
NPI Data:
- NPI Number: 1720138696
- Provider Enumeration Date: 01/11/2007
- Last Update Date: 09/26/2011
Medicare PECOS Information:
- PECOS PAC ID: 3173507449
- Enrollment ID: I20041004000274
Medical Identifiers
Medical identifiers for Dr James David Ellner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720138696 | NPI | - | NPPES |
| 300008410 | Other | GA | GA PAIN MANAGEMEN TAX ID# |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 035861 (Georgia) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 035861 (Georgia) | Primary |
Medical Facilities Affiliation
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr James David Ellner allows following entities to bill medicare on his behalf.
| Entity Name | Georgia Pain Management |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033392832
PECOS PAC ID: 0941284202
Enrollment ID: O20040615000570 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr James David Ellner is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr James David Ellner, MD
120 Stonebridge Pkwy, Suite 420,
Woodstock, GA 30189-3767
Ph: (770) 544-1000 | Dr James David Ellner, MD
120 Stonebridge Pkwy, Suite 420,
Woodstock, GA 30189-3767
Ph: (770) 544-1000 |
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