Richard S Ellin, MD in Lawrenceville, GA - Medicare Internal Medicine

Richard S Ellin, MD is a medicare enrolled "Internal Medicine" physician in Lawrenceville, Georgia. His current practice location is 455 Philip Blvd Ste 130, Kaiser Permanente Lawrenceville Medical Office, Lawrenceville, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 985-5000.

Richard S Ellin is licensed to practice in Georgia (license number 025604) 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 1871506386.

Contact Information

	Richard S Ellin, MD
	455 Philip Blvd Ste 130, Kaiser Permanente Lawrenceville Medical Office, Lawrenceville, GA 30046-8768
	(678) 985-5000
	(828) 526-2914

Map and Direction

Physician's Profile

Full Name	Richard S Ellin
Gender	Male
Speciality	Internal Medicine
Location	455 Philip Blvd Ste 130, Lawrenceville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871506386
Provider Enumeration Date: 08/14/2006
Last Update Date: 01/06/2022

Medicare PECOS Information:

PECOS PAC ID: 5597954990
Enrollment ID: I20110118000259

Medical Identifiers

Medical identifiers for Richard S Ellin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871506386	NPI	-	NPPES
NCT328A194	Other	NC	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	2016-01385 (North Carolina)	Secondary
207R00000X	Internal Medicine	025604 (Georgia)	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. Richard S Ellin allows following entities to bill medicare on his behalf.

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

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. Richard S Ellin 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
Richard S Ellin, MD 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: (404) 504-5678	Richard S Ellin, MD 455 Philip Blvd Ste 130, Kaiser Permanente Lawrenceville Medical Office, Lawrenceville, GA 30046-8768 Ph: (678) 985-5000

Reviews and Comments

Internal Medicine Doctors in Lawrenceville, GA

Dr. Angus C Howard Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, GA 30046 Phone: 404-645-7150
Gary Mcmorris, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 950 River Centre Pl, Lawrenceville, GA 30043 Phone: 770-682-1717 Fax: 770-682-1723
Niraj Sharma, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 575 Professional Dr Ste 400, Lawrenceville, GA 30046 Phone: 404-962-6000 Fax: 404-962-6001
Dr. Karuna Kusan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1960 Riverside Pkwy, Suite 101, Lawrenceville, GA 30043 Phone: 770-995-0466 Fax: 770-995-0472
Mr. Spencer I Rozin, MD FACP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 721 Wellness Way, Suite 220, Lawrenceville, GA 30046 Phone: 770-709-0900 Fax: 770-709-7444
Praveen Sivakumaran, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 631 Professional Dr Ste 450, Lawrenceville, GA 30046 Phone: 770-963-8030 Fax: 770-339-9577
Dr. Yan Lin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-3294 Fax: 678-312-3294

Richard S Ellin, MD - Medicare Internal Medicine in Lawrenceville, GA