Dr Kristin Alexandria Ellis, DO | |
3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 | |
(772) 419-4834 | |
(772) 419-4833 |
Full Name | Dr Kristin Alexandria Ellis |
---|---|
Gender | Female |
Speciality | Urology |
Experience | 8 Years |
Location | 3801 S Kanner Hwy Ste 200, Stuart, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629472170 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | OS20624 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cleveland Clinic Martin North Hospital | Stuart, FL | Hospital |
Butler Memorial Hospital | Butler, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Butler Medical Providers | 7416840160 | 294 |
Martin Memorial Physicians Corporation Inc | 7315833555 | 377 |
Entity Name | Butler Medical Providers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619493046 PECOS PAC ID: 7416840160 Enrollment ID: O20040205000830 |
Mailing Address | Practice Location Address |
---|---|
Dr Kristin Alexandria Ellis, DO 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 Ph: (772) 419-4834 | Dr Kristin Alexandria Ellis, DO 3801 S Kanner Hwy Ste 200, Stuart, FL 34994-4801 Ph: (772) 419-4834 |
Annie Chen, MD Urology Medicare: Medicare Enrolled Practice Location: 200 Se Hospital Ave, Stuart, FL 34994 Phone: 440-724-4498 | |
Dr. Patrick H. Foley, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3801 S Kanner Hwy Ste 200, Stuart, FL 34994 Phone: 772-419-4834 Fax: 772-419-4833 | |
David Nehme, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 528 Se Osceola St, Stuart, FL 34994 Phone: 772-781-9922 Fax: 772-781-9933 | |
Michael Emory Lustgarten, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 834 E Ocean Blvd, Stuart, FL 34994 Phone: 772-286-2950 Fax: 772-286-2339 | |
Dr. Osama Alalao, MD Urology Medicare: Medicare Enrolled Practice Location: 3801 S Kanner Hwy, Stuart, FL 34994 Phone: 772-419-4834 Fax: 772-419-4833 | |
Dr. Vincent P Miraglia, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2398 E Ocean Blvd, Ste A, Stuart, FL 34996 Phone: 772-223-2864 Fax: 772-223-2861 |