Keith Errett Ellis, MD in Savannah, GA - Medicare Family Medicine

Keith Errett Ellis, MD is a medicare enrolled "Family Medicine" physician in Savannah, Georgia. His current practice location is 1107 E 66th St, Savannah, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 350-8404.

Keith Errett Ellis is licensed to practice in Georgia (license number 26106) 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 1356490775.

Contact Information

	Keith Errett Ellis, MD
	1107 E 66th St, Savannah, GA 31404-5701
	(912) 350-8404
	(912) 350-8067

Map and Direction

Physician's Profile

Full Name	Keith Errett Ellis
Gender	Male
Speciality	Family Medicine
Location	1107 E 66th St, Savannah, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356490775
Provider Enumeration Date: 01/09/2007
Last Update Date: 03/03/2014

Medicare PECOS Information:

PECOS PAC ID: 6709948706
Enrollment ID: I20081230000253

Medical Identifiers

Medical identifiers for Keith Errett Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356490775	NPI	-	NPPES
000526578C	Medicaid	GA
000526578B	Medicaid	GA
080164682	Other	GA	RR MEDICARE
CH5121	Other	GA	RR MEDICARE GROUP ID
GRP3905	Other	GA	GA MEDICARE GROUP ID
G26106	Medicaid	SC
582162071-014	Other		HMHS/TRICARE SOUTH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	26106 (Georgia)	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. Keith Errett Ellis allows following entities to bill medicare on his behalf.

Entity Name	Mppg Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033131172 PECOS PAC ID: 7012829351 Enrollment ID: O20040223000338

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. Keith Errett 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
Keith Errett Ellis, MD 1107 E 66th St, Savannah, GA 31404-5701 Ph: (912) 350-8404	Keith Errett Ellis, MD 1107 E 66th St, Savannah, GA 31404-5701 Ph: (912) 350-8404

Reviews and Comments

Family Medicine Doctors in Savannah, GA

Thomas Danello, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 361 Commercial Dr, Savannah, GA 31406 Phone: 912-355-6221 Fax: 912-355-6914
Cindy Ann Gleit, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1107 E 66th St, Savannah, GA 31404 Phone: 912-350-8404 Fax: 912-350-8067
Megan Boyd, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 5356 Reynolds St Ste 201, Savannah, GA 31405 Phone: 912-819-8187
Mrs. Erica Blaikie Young, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 51 Johnny Mercer Blvd. Cottage A-1, Savannah, GA 31410 Phone: 912-999-8617 Fax: 912-216-3946
Dr. Peter Christian Miller, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1326 Eisenhower Dr, Building 1, Savannah, GA 31406 Phone: 912-691-4100
Shaun Iletha Franklin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 W Montgomery Xrd, Savannah, GA 31406 Phone: 912-920-0214 Fax: 912-921-2004
Dr. Theodore Geffen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1326 Eisenhower Dr, Savannah, GA 31406 Phone: 912-691-4100 Fax: 912-691-4289

Keith Errett Ellis, MD - Medicare Family Medicine in Savannah, GA