Dr Mark Gregory Ellis, MD in Eureka, CA

Dr Mark Gregory Ellis, MD is a medicare enrolled "Pediatrics" physician in Eureka, California. His current practice location is 2200 Tydd St, Eureka, California. You can reach out to his office (for appointments etc.) via phone at (707) 269-7051.

Dr Mark Gregory Ellis is licensed to practice in California (license number G65432) 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 1003812744.

Contact Information

	Dr Mark Gregory Ellis, MD
	2200 Tydd St, Eureka, CA 95501-1284
	(707) 269-7051
	(707) 269-7054

Map and Direction

Physician's Profile

Full Name	Dr Mark Gregory Ellis
Gender	Male
Speciality	Pediatrics
Location	2200 Tydd St, Eureka, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003812744
Provider Enumeration Date: 06/27/2005
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 1658565759
Enrollment ID: I20101103000094

Medical Identifiers

Medical identifiers for Dr Mark Gregory Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003812744	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	G65432 (California)	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 Mark Gregory Ellis allows following entities to bill medicare on his behalf.

Entity Name	Open Door Community Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497840656 PECOS PAC ID: 9436067485 Enrollment ID: O20040414000890

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 Mark Gregory 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 Mark Gregory Ellis, MD 670 9th St Ste 203, Arcata, CA 95521-6249 Ph: (707) 826-8633	Dr Mark Gregory Ellis, MD 2200 Tydd St, Eureka, CA 95501-1284 Ph: (707) 269-7051

Reviews and Comments

Pediatrics Doctors in Eureka, CA

Dr. Pippa Elayne Coulter, MD, PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2200 Tydd St, Eureka, CA 95501 Phone: 707-269-7051 Fax: 707-269-7054
Teresa Lynn Frankovich, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2200 Tydd St, Eureka, CA 95501 Phone: 707-269-7051 Fax: 707-269-7054
Lorraine R Byrd, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2200 Tydd St, Eureka, CA 95501 Phone: 707-441-1624 Fax: 707-441-1253
Dr. John James Sullivan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 525 2nd St, #300, Eureka, CA 95501 Phone: 707-445-0893 Fax: 707-444-2563
Laurie S Wirthlin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2800 Harris St, Eureka, CA 95503 Phone: 707-445-8416 Fax: 707-445-4182
Mrs. Emily Lambert Dalton, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2800 Harris St, Eureka, CA 95503 Phone: 707-445-8416 Fax: 707-445-4182

Dr Mark Gregory Ellis, MD - Medicare Pediatrics in Eureka, CA