Dr Miles Wayne Ellis, MD | |
4401 River Chase Dr, Emergency Dept., Phenix City, AL 36867-7483 | |
(334) 732-3000 | |
(334) 732-3020 |
Full Name | Dr Miles Wayne Ellis |
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Gender | Male |
Speciality | Family Medicine |
Location | 4401 River Chase Dr, Phenix City, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1871510644 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 039782 (Georgia) | Primary |
Entity Name | Emergency Staffing Solutions Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477590974 PECOS PAC ID: 9830001650 Enrollment ID: O20120612000674 |
Entity Name | Nes Tennessee, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437606605 PECOS PAC ID: 3678472040 Enrollment ID: O20161031002328 |
Mailing Address | Practice Location Address |
---|---|
Dr Miles Wayne Ellis, MD 1705 Crest Dr, Columbus, GA 31906-3507 Ph: (706) 324-4065 | Dr Miles Wayne Ellis, MD 4401 River Chase Dr, Emergency Dept., Phenix City, AL 36867-7483 Ph: (334) 732-3000 |
Michael W Johnston, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 Windsweep Ct, Phenix City, AL 36870 Phone: 334-297-5555 Fax: 334-297-5525 | |
Dr. Gary Amon Dillard, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1810 Stadium Drive Ste 240, Phenix City, AL 36867 Phone: 334-291-8303 Fax: 334-291-8325 | |
Richard A Valentine, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1615 21st Ct, Phenix City, AL 36867 Phone: 334-297-4883 | |
Alexa Paige Jones, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3700 Ste A S Railroad St, Phenix City, AL 36867 Phone: 334-664-0463 | |
Julia Jane Sieth, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1615 21st Ct, Phenix City, AL 36867 Phone: 334-297-4883 | |
Daryl Ellis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5009 River Chase Dr, Suite 500, Phenix City, AL 36867 Phone: 334-448-9505 Fax: 334-448-9575 | |
Dr. Kimberly Ann Funches-jackson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1810 Stadium Dr, Suite 210, Phenix City, AL 36867 Phone: 334-297-1085 |