Ellis Robertson, MD - Medicare Radiology in Dallas, TX

  1. Home
  2. Radiology
  3. TX
  4. Dallas
Ellis Robertson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Dallas, Texas. His current practice location is 12700 Park Central Dr, Ste 430, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 239-8902.

Ellis Robertson is licensed to practice in Texas (license number J7162) 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 1568465920.

Contact Information

Ellis Robertson, MD
12700 Park Central Dr, Ste 430,
Dallas, TX 75251-1527
(972) 239-8902
Not Available

Map and Direction




Physician's Profile

Full NameEllis Robertson
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location12700 Park Central Dr, Dallas, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568465920
  • Provider Enumeration Date: 05/31/2005
  • Last Update Date: 02/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9638082233
  • Enrollment ID: I20031110000593

Medical Identifiers

Medical identifiers for Ellis Robertson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568465920NPI-NPPES
128943103MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology J7162 (Texas)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. Ellis Robertson allows following entities to bill medicare on his behalf.
Entity NameRadiology Associates Of North Texas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710970975
PECOS PAC ID: 7911897301
Enrollment ID: O20040617000531
Entity NameNorth Star Mri Of Frisco Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649356759
PECOS PAC ID: 2769574854
Enrollment ID: O20070821000328
Entity NameNorth Star Diagnostic Imaging, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467787739
PECOS PAC ID: 8729118021
Enrollment ID: O20100614000182
Entity NameNorth Star Mri Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033174701
PECOS PAC ID: 5890762330
Enrollment ID: O20110524000030
Entity NameNorth Star Mcd, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063712461
PECOS PAC ID: 2668659434
Enrollment ID: O20110602000702
Entity NameNorth Star Fm Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174812028
PECOS PAC ID: 1153591763
Enrollment ID: O20110908001884
Entity NameNorth Star Cn Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013305945
PECOS PAC ID: 0547589376
Enrollment ID: O20150429001555
Entity NameNorth Star Fp Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033630835
PECOS PAC ID: 6800168576
Enrollment ID: O20170816002017
Entity NameNorth Star Gv Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922512664
PECOS PAC ID: 0648539023
Enrollment ID: O20180110000546
Entity NameNorth Star Npt, Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699387647
PECOS PAC ID: 8426468265
Enrollment ID: O20201105000633

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. Ellis Robertson 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 AddressPractice Location Address
Ellis Robertson, MD
Po Box 740608,
Dallas, TX 75374-0608

Ph: (469) 317-9900		Ellis Robertson, MD
12700 Park Central Dr, Ste 430,
Dallas, TX 75251-1527

Ph: (972) 239-8902

Reviews and Comments


Radiology Doctors in Dallas, TX

Dr. Nhat-long Lam Pham, M.D., PH.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 5801 Forest Park Rd, Dallas, TX 75390
Phone: 241-645-7615    Fax: 214-645-7624
Firouzeh Arjmandi, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 5323 Harry Hines Blvd., Dallas, TX 75390
Phone: 214-645-3586    
Dr. John Debevits Iv, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390
Phone: 214-648-3928    
Natalia Cabrera Almonte, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 5323 Harry Hines Blvd # E6112, Dallas, TX 75390
Phone: 214-648-2054    
W Crysup Sory, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 12700 Park Central Dr, Ste 430, Dallas, TX 75251
Phone: 972-239-8902    Fax: 972-661-2551
Jacqueline Tyra Caire, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390
Phone: 469-757-1000    
Dr. Thomas Louis Borok, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 5004 Spyglass Drive, Dallas, TX 75287
Phone: 972-931-1073    Fax: 972-931-1073

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.