Dr Marco Fredrick Ellis, MD in Chicago, IL - Medicare Plastic And Reconstructive Surgery

Dr Marco Fredrick Ellis, MD is a medicare enrolled "Plastic Surgery" physician in Chicago, Illinois. He went to Harvard Medical School and graduated in 2005 and has 19 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Northwestern Medical Faculty Foundation and his current practice location is 259 E Erie St Ste 20-2060, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 695-6022.

Dr Marco Fredrick Ellis is licensed to practice in Illinois (license number 036121419) 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 1508021171.

Contact Information

	Dr Marco Fredrick Ellis, MD
	259 E Erie St Ste 20-2060, Chicago, IL 60611-2987
	(312) 695-6022
	(312) 695-5672

Map and Direction

Physician's Profile

Full Name	Dr Marco Fredrick Ellis
Gender	Male
Speciality	Plastic And Reconstructive Surgery
Experience	19 Years
Location	259 E Erie St Ste 20-2060, Chicago, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Marco Fredrick Ellis attended and graduated from Harvard Medical School in 2005

NPI Data:

NPI Number: 1508021171
Provider Enumeration Date: 07/23/2008
Last Update Date: 06/21/2023

Medicare PECOS Information:

PECOS PAC ID: 8426242736
Enrollment ID: I20101101000664

Medical Identifiers

Medical identifiers for Dr Marco Fredrick Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508021171	NPI	-	NPPES
12576013	Other		CAQH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208200000X	Plastic Surgery	036121419 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northwestern Memorial Hospital	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northwestern Medical Faculty Foundation	4587576814	3352

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 Marco Fredrick Ellis allows following entities to bill medicare on his behalf.

Entity Name	Northwestern Medical Faculty Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541

Entity Name	The Board Of Trustees Of The University Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158

Entity Name	Mount Sinai Community Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376715896 PECOS PAC ID: 5991600405 Enrollment ID: O20040202001032

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 Marco Fredrick 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 Marco Fredrick Ellis, MD 259 E Erie St Ste 20-2060, Chicago, IL 60611-2987 Ph: (312) 695-6022	Dr Marco Fredrick Ellis, MD 259 E Erie St Ste 20-2060, Chicago, IL 60611-2987 Ph: (312) 695-6022

Reviews and Comments

Plastic Surgery Doctors in Chicago, IL

Parit A Patel, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 737 N Michigan Ave Ste 1820, Chicago, IL 60611 Phone: 312-819-5338 Fax: 312-819-5337
Akira Yamada, Plastic Surgery Medicare: Medicare Enrolled Practice Location: 225 E Chicago Ave, Division Of Plastic Surgery, Chicago, IL 60611 Phone: 312-227-6258 Fax: 312-227-9408
Lyndsay Ann Kandi, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc6035, Chicago, IL 60637 Phone: 773-702-6302 Fax: 773-702-1634
Dr. Diane L Gerber, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 250 E Pearson St, #2803, Chicago, IL 60611 Phone: 312-280-8707
Stephanie Bond, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc6035, Chicago, IL 60637 Phone: 773-795-1240
Alexandra Polovneff, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5841 S. Maryland Ave., Plastic Surgery Department, Chicago, IL 60637 Phone: 888-824-0200
Emily Jean Miller, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5841 S Maryland Ave # Mc2026, Chicago, IL 60637 Phone: 773-702-6024 Fax: 773-702-1161

Dr Marco Fredrick Ellis, MD - Medicare Plastic And Reconstructive Surgery in Chicago, IL