Dr Jimmy Scott Ellis, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Craig, Colorado. His current practice location is
785 Russell St, Suite 100, Craig, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 826-2420.
Dr Jimmy Scott Ellis is licensed to practice in Colorado (license number 46656) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609891795.
Physician's Profile
| Full Name | Dr Jimmy Scott Ellis |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 785 Russell St, Craig, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1609891795
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 10/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 5395805386
- Enrollment ID: I20081120000524
Medical Identifiers
Medical identifiers for Dr Jimmy Scott Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609891795 | NPI | - | NPPES |
| 133125100 | Other | | FIRSTCARE & SW LIFE&HEALT |
| 311819386790650000 | Other | | TRICARE |
| P00070099 | Other | TX | RAILROAD MEDICARE |
| 159097801 | Medicaid | TX | |
| 01936531 | Medicaid | CO | |
| 7431448 | Other | | AETNA |
| 3277999 | Other | | CIGNA |
| 8J3940 | Other | TX | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | L6229 (Texas) | Secondary |
| 207V00000X | Obstetrics & Gynecology | OP61014771 (Washington) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 46656 (Colorado) | Primary |
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 Jimmy Scott Ellis allows following entities to bill medicare on his behalf.
| Entity Name | Obhg Colorado Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104116896
PECOS PAC ID: 2365601226
Enrollment ID: O20120313000034 |
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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 Jimmy Scott Ellis 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 Jimmy Scott Ellis, DO
785 Russell St, Suite 100,
Craig, CO 81625-2019
Ph: (970) 826-2420 | Dr Jimmy Scott Ellis, DO
785 Russell St, Suite 100,
Craig, CO 81625-2019
Ph: (970) 826-2420 |
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