Jessica Laine Ellis, MD in Springfield, OR

Jessica Laine Ellis, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Springfield, Oregon. Her current practice location is 1435 G St, Springfield, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 242-4812.

Jessica Laine Ellis is licensed to practice in Oregon (license number MD172850) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245270222.

Contact Information

	Jessica Laine Ellis, MD
	1435 G St, Springfield, OR 97477-4113
	(541) 242-4812
	(541) 242-4813

Map and Direction

Physician's Profile

Full Name	Jessica Laine Ellis
Gender	Female
Speciality	Family Medicine - Sports Medicine
Location	1435 G St, Springfield, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245270222
Provider Enumeration Date: 06/07/2006
Last Update Date: 12/04/2015

Medicare PECOS Information:

PECOS PAC ID: 8527079524
Enrollment ID: I20151103000703

Medical Identifiers

Medical identifiers for Jessica Laine Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245270222	NPI	-	NPPES
500694329	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QS0010X	Family Medicine - Sports Medicine	MD172850 (Oregon)	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. Jessica Laine Ellis allows following entities to bill medicare on her behalf.

Entity Name	Oregon Healthcare Resources Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982907572 PECOS PAC ID: 4486835477 Enrollment ID: O20110223001220

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. Jessica Laine 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
Jessica Laine Ellis, MD Po Box 1648, Eugene, OR 97440-1648 Ph: (541) 242-4812	Jessica Laine Ellis, MD 1435 G St, Springfield, OR 97477-4113 Ph: (541) 242-4812

Reviews and Comments

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Elizabeth L Stover, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2280 Marcola Rd, Springfield, OR 97477 Phone: 541-747-4300
Dr. Glenn E Ziemski, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 36995 Wallace Creek Rd, Springfield, OR 97478 Phone: 541-687-1066
William P Goodger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2073 Olympic St, Springfield, OR 97477 Phone: 541-682-3350

Jessica Laine Ellis, MD - Medicare Family Medicine in Springfield, OR