Dr Randall E Ellis, MD in Clarksville, TN - Medicare Emergency Medicine

Dr Randall E Ellis, MD is a medicare enrolled "Emergency Medicine" physician in Clarksville, Tennessee. He went to Vanderbilt University School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice San Carlos Apache Healthcare Corporation and his current practice location is 2320 Wilma Rudolph Blvd, Clarksville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 645-1564.

Dr Randall E Ellis is licensed to practice in Tennessee (license number MD27444) 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 1396784138.

Contact Information

	Dr Randall E Ellis, MD
	2320 Wilma Rudolph Blvd, Clarksville, TN 37040-5821
	(931) 645-1564
	(931) 645-3842

Map and Direction

Physician's Profile

Full Name	Dr Randall E Ellis
Gender	Male
Speciality	Emergency Medicine
Experience	35 Years
Location	2320 Wilma Rudolph Blvd, Clarksville, Tennessee
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 Randall E Ellis attended and graduated from Vanderbilt University School Of Medicine in 1989

NPI Data:

NPI Number: 1396784138
Provider Enumeration Date: 06/06/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3779476403
Enrollment ID: I20221219002921

Medical Identifiers

Medical identifiers for Dr Randall E Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396784138	NPI	-	NPPES
4041098	Other	TN	BLUECROSS BLUESHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MD27444 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
San Carlos Apache Healthcare Corporation	0648580597	116

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 Randall E Ellis allows following entities to bill medicare on his behalf.

Entity Name	San Carlos Apache Healthcare Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265813075 PECOS PAC ID: 0648580597 Enrollment ID: O20151105002091

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 Randall E 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 Randall E Ellis, MD 2320 Wilma Rudolph Blvd, Clarksville, TN 37040-5821 Ph: (931) 645-1564	Dr Randall E Ellis, MD 2320 Wilma Rudolph Blvd, Clarksville, TN 37040-5821 Ph: (931) 645-1564

Reviews and Comments

Emergency Medicine Doctors in Clarksville, TN

John D Shields, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1771 Madison St, Clarksville, TN 37043 Phone: 931-552-6622
Dr. Malcolm A Steele, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 651 Dunlop Ln, Clarksville, TN 37040 Phone: 931-502-1370
Manickam Krishnamurthy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 651 Dunlop Ln, Clarksville, TN 37040 Phone: 931-502-1370
Mark A Muiznieks, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 651 Dunlop Lane Clarksville, Clarksville, TN 37040 Phone: 931-502-1370
Dr. Russell Paul Landry Iii, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 651 Dunlop Lane, Clarksville, TN 37040 Phone: 713-430-6095
Dr. Timothy L Obernuefemann, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2320 Wilma Rudolph Blvd, Clarksville, TN 37040 Phone: 931-645-1564 Fax: 931-645-3842
Dr. James Willis Hickerson Jr., MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 651 Dunlop Ln, Clarksville, TN 37040 Phone: 931-502-1370

Dr Randall E Ellis, MD - Medicare Emergency Medicine in Clarksville, TN