Dr Thomas W Ellis, MD | |
2863 Highwy 45 Byp, Jackson, TN 38305-3618 | |
(731) 422-0213 | |
(731) 422-0410 |
Full Name | Dr Thomas W Ellis |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 52 Years |
Location | 2863 Highwy 45 Byp, Jackson, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932147774 | NPI | - | NPPES |
31909201 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RS0012X | Internal Medicine - Sleep Medicine | MD8209 (Tennessee) | Secondary |
207RP1001X | Internal Medicine - Pulmonary Disease | MD8209 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jackson-madison County General Hospital | Jackson, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jackson Clinic Pa | 2668376872 | 179 |
Entity Name | Jackson Clinic Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285629386 PECOS PAC ID: 2668376872 Enrollment ID: O20040318000962 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas W Ellis, MD Po Box 400, Jackson, TN 38302-0400 Ph: (731) 425-5752 | Dr Thomas W Ellis, MD 2863 Highwy 45 Byp, Jackson, TN 38305-3618 Ph: (731) 422-0213 |
John Baker, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 587 Skyline Dr, Jackson, TN 38301 Phone: 731-421-6510 Fax: 731-421-6500 | |
Dr. Susan Alex, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 221 Sterling Farms Dr., Jackson, TN 38305 Phone: 731-668-4337 Fax: 731-661-0124 | |
Dr. Kelsey B Dexter, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8336 | |
Kpienoba Manan Hien, M.D Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000 | |
Lucas Carver, Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000 | |
Dr. Clyde E Smith, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 27 Medical Center Dr, Jackson, TN 38301 Phone: 731-424-1001 | |
Brittain Douglas Little, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 27 Medical Center Dr, Jackson, TN 38301 Phone: 731-424-1001 Fax: 731-426-0388 |