Dr Lance A Ellis, DO is a medicare enrolled "Orthopaedic Surgery - Orthopaedic Surgery Of The Spine" physician in Gatesville, Texas. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Ir Rehab, P.c., Coryell County Memorial Hospital Authority and his current practice location is
1507 W Main St, Gatesville, Texas. You can reach out to his office (for appointments etc.) via phone at
(254) 865-2166.
Dr Lance A Ellis is licensed to practice in Texas (license number M4053) 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 1508826074.
Physician's Profile
| Full Name | Dr Lance A Ellis |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 23 Years |
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| Location | 1507 W Main St, Gatesville, Texas |
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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 Lance A Ellis graduated from medical school in 2001
NPI Data:
- NPI Number: 1508826074
- Provider Enumeration Date: 03/27/2006
- Last Update Date: 07/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 0840391603
- Enrollment ID: I20070723000878
Medical Identifiers
Medical identifiers for Dr Lance A Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508826074 | NPI | - | NPPES |
| M4053 | Other | TX | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | 5101015902 (Michigan) | Secondary |
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | 34-007955 (Ohio) | Secondary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | M4053 (Texas) | Secondary |
| 207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | M4053 (Texas) | Secondary |
| 207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | 5101015902 (Michigan) | Secondary |
| 207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | 34-007955 (Ohio) | Secondary |
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | M4053 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ir Rehab, P.c. | 1153453691 | 126 |
| Coryell County Memorial Hospital Authority | 7719886282 | 29 |
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 Lance A Ellis allows following entities to bill medicare on his behalf.
| Entity Name | Coryell County Memorial Hospital Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992832521
PECOS PAC ID: 7719886282
Enrollment ID: O20040202000105 |
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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 Lance A 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 Lance A Ellis, DO
1507 W Main St,
Gatesville, TX 76528-1024
Ph: (254) 865-2166 | Dr Lance A Ellis, DO
1507 W Main St,
Gatesville, TX 76528-1024
Ph: (254) 865-2166 |
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