Dr Jon Michael Ellis, MD | |
140 Hillcrest Medical Blvd Ste 2, Waco, TX 76712-8897 | |
(254) 741-1400 | |
(254) 741-1428 |
Full Name | Dr Jon Michael Ellis |
---|---|
Gender | Male |
Speciality | Sports Medicine |
Experience | 30 Years |
Location | 140 Hillcrest Medical Blvd Ste 2, Waco, Texas |
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 |
---|---|---|---|
1982600193 | NPI | - | NPPES |
046446302 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | J9580 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baylor Scott & White Medical Center Hillcrest | Waco, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hillcrest Physician Services | 1153304456 | 92 |
Entity Name | Hillcrest Physician Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649294323 PECOS PAC ID: 1153304456 Enrollment ID: O20040609000104 |
Mailing Address | Practice Location Address |
---|---|
Dr Jon Michael Ellis, MD Po Box 848491, Dallas, TX 75284-8491 Ph: (254) 202-9330 | Dr Jon Michael Ellis, MD 140 Hillcrest Medical Blvd Ste 2, Waco, TX 76712-8897 Ph: (254) 741-1400 |
Brent J Bauer, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7125 Sanger Rd Ste 516, Waco, TX 76712 Phone: 254-752-9638 Fax: 254-752-2201 | |
Dr. Bradley Dale Gilliam, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 140 Hillcrest Medical Blvd Ste 200, Waco, TX 76712 Phone: 254-741-1400 Fax: 254-741-1428 | |
Jerry Alan Benham, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6600 Fish Pond Rd, Suite 201, Waco, TX 76710 Phone: 254-752-9638 Fax: 254-752-2201 | |
Dr. James A Bowden, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 7125 New Sanger Rd, Suite B, Waco, TX 76712 Phone: 254-754-0375 Fax: 254-754-2667 | |
Ryan Wesley Fairchild, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 140 Hillcrest Medical Blvd Ste 2, Waco, TX 76712 Phone: 254-741-1400 | |
Dr. Chad Stephen Conner, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6600 Fish Pond Rd, Suite 201, Waco, TX 76710 Phone: 254-752-9638 | |
Austin Hoy, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 140 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 401-457-2168 |