Dr Michael Paul Ellis, MD is a medicare enrolled "Family Medicine" physician in Black Hawk, Colorado. His current practice location is
562 Gregory St, Black Hawk, Colorado. You can reach out to his office (for appointments etc.) via phone at
(303) 582-5276.
Dr Michael Paul Ellis is licensed to practice in Colorado (license number 50801) 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 1780650093.
Physician's Profile
Full Name | Dr Michael Paul Ellis |
---|
Gender | Male |
---|
Speciality | Family Medicine |
---|
Location | 562 Gregory St, Black Hawk, Colorado |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780650093
- Provider Enumeration Date: 02/27/2006
- Last Update Date: 12/12/2012
Medicare PECOS Information:
- PECOS PAC ID: 4981948676
- Enrollment ID: I20181206002707
Medical Identifiers
Medical identifiers for Dr Michael Paul Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780650093 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 50801 (Colorado) | Primary |
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 Michael Paul 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 Michael Paul Ellis, MD Po Box 9, 20 E Lakeview Dr. Suite 109, Nederland, CO 80466-0009 Ph: (970) 945-2840 | Dr Michael Paul Ellis, MD 562 Gregory St, Black Hawk, CO 80422 Ph: (303) 582-5276 |
Reviews and Comments