Dr Rusty Todd Ellis, MD is a medicare enrolled "Hospitalist" physician in La Grange, Kentucky. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Baptist Health Medical Group Inc and his current practice location is
1025 New Moody Ln, La Grange, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(502) 222-8535.
Dr Rusty Todd Ellis is licensed to practice in Kentucky (license number 43074) 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 1952439499.
Physician's Profile
Full Name | Dr Rusty Todd Ellis |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 18 Years |
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Location | 1025 New Moody Ln, La Grange, Kentucky |
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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 Rusty Todd Ellis attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2006
NPI Data:
- NPI Number: 1952439499
- Provider Enumeration Date: 02/28/2007
- Last Update Date: 12/04/2020
Medicare PECOS Information:
- PECOS PAC ID: 4688712094
- Enrollment ID: I20091105000005
Medical Identifiers
Medical identifiers for Dr Rusty Todd Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952439499 | NPI | - | NPPES |
50026571 | Other | KY | PASSPORT |
7100094070 | Medicaid | KY | |
000000633242 | Other | KY | ANTHEM |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 43074 (Kentucky) | Primary |
207R00000X | Internal Medicine | 43074 (Kentucky) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Baptist Health Medical Group Inc | 5597867184 | 1934 |
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 Rusty Todd Ellis allows following entities to bill medicare on his behalf.
Entity Name | Baptist Health Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503 |
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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 Rusty Todd 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 Rusty Todd Ellis, MD Po Box 950248, Louisville, KY 40295-0248 Ph: (502) 253-1035 | Dr Rusty Todd Ellis, MD 1025 New Moody Ln, La Grange, KY 40031-9154 Ph: (502) 222-8535 |
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