Dr Robert Gareth Ellis, MD | |
920 Church St N, Concord, NC 28025-2927 | |
(704) 403-1430 | |
Not Available |
Full Name | Dr Robert Gareth Ellis |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 17 Years |
Location | 920 Church St N, Concord, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851598130 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LA0401X | Anesthesiology - Addiction Medicine | 201201284 (North Carolina) | Secondary |
207L00000X | Anesthesiology | 201201284 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Carolinas Medical Center-northeast | Concord, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northeast Anesthesia And Pain Specialists Pa | 0042102170 | 11 |
Chs Anesthesia Services Group Inc | 5799007324 | 561 |
Entity Name | Northeast Anesthesia And Pain Specialists Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386622231 PECOS PAC ID: 0042102170 Enrollment ID: O20040325000701 |
Entity Name | Southeast Anesthesiology Consultants Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538124201 PECOS PAC ID: 7719959873 Enrollment ID: O20040809001398 |
Entity Name | Chs Anesthesia Services Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346649415 PECOS PAC ID: 5799007324 Enrollment ID: O20141209001856 |
Entity Name | Mission Health Community Multispecialty Providers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457719130 PECOS PAC ID: 9537468574 Enrollment ID: O20160426001883 |
Entity Name | Pavana Treatment Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043849896 PECOS PAC ID: 1456743095 Enrollment ID: O20220112000084 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert Gareth Ellis, MD Po Box 2000, Concord, NC 28026-2000 Ph: (704) 403-1430 | Dr Robert Gareth Ellis, MD 920 Church St N, Concord, NC 28025-2927 Ph: (704) 403-1430 |
William M Cottrell, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-3426 | |
Karlon K H Young, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-1430 Fax: 704-403-1158 | |
Sara L Arnold, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-1430 Fax: 704-403-1158 | |
Dr. Jin Shin Kwak, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 920 Church Street North, Concord, NC 28025 Phone: 704-403-1430 Fax: 704-403-1158 | |
Tara L Chronister, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-3426 | |
Dr. Osmund Ugochukwu Agbo, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 347-804-9172 | |
Dr. Justin Farmer, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-1430 |