Ira Keith Ellis, MD | |
2084 W Main St, Milan, TN 38358-3515 | |
(615) 673-6737 | |
Not Available |
Full Name | Ira Keith Ellis |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 23 Years |
Location | 2084 W Main St, Milan, Tennessee |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922005388 | NPI | - | NPPES |
34018 | Other | TN | TLC |
626001636 | Other | TN | UNITED HEALTHCARE |
4101718 | Other | TN | BLUE CROSS BLUE SHIELD |
5657408 | Other | TN | CIGNA |
3823013 | Medicaid | TN | |
626001636 | Other | TN | USA MANAGED CARE |
P00277818 | Other | TN | RAILROAD MEDICARE |
4124210 | Other | BCBS | |
626001636 | Other | TN | HEALTH PARTNERS |
166981 | Other | TN | UNISON |
3895527 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 38294 (Tennessee) | Secondary |
207QA0401X | Family Medicine - Addiction Medicine | 38294 (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 |
---|---|---|
Impact Healthcare, Pllc | 5991065427 | 10 |
Entity Name | Impact Healthcare, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487185153 PECOS PAC ID: 5991065427 Enrollment ID: O20180201001424 |
Entity Name | Wt University Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023572344 PECOS PAC ID: 3779824719 Enrollment ID: O20190401001719 |
Entity Name | T4t |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538750286 PECOS PAC ID: 1951709187 Enrollment ID: O20211001001868 |
Entity Name | Madison Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770256836 PECOS PAC ID: 5496153249 Enrollment ID: O20211007002888 |
Mailing Address | Practice Location Address |
---|---|
Ira Keith Ellis, MD 294 Summar Dr, Dept 289, Jackson, TN 38301-3915 Ph: (731) 423-1932 | Ira Keith Ellis, MD 2084 W Main St, Milan, TN 38358-3515 Ph: (615) 673-6737 |
Dr. Jerry Paul Wilson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6041 Telecom Dr, Milan, TN 38358 Phone: 731-686-1505 Fax: 731-686-8174 | |
Ronald Guy Twilla, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4039 Highland St, Suite 5, Milan, TN 38358 Phone: 731-686-1516 Fax: 731-686-1518 | |
Seth Patrick Hayes, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4039 Highland St, Milan, TN 38358 Phone: 731-686-1591 | |
Dr. Patrick N Andre, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6041 Telecom Dr, Milan, TN 38358 Phone: 731-686-1505 Fax: 731-686-8174 | |
Dr. Wade Park Reeves, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6041 Telecom Dr, Milan, TN 38358 Phone: 731-686-1505 Fax: 731-686-8174 | |
Mr. Michael A Mcadoo, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 6041 Telecom Dr, Milan, TN 38358 Phone: 731-686-1505 Fax: 731-686-8174 |