Kimberly Ellis, MD in Manchester, NH - Medicare General Surgery

Kimberly Ellis, MD is a medicare enrolled "Surgery" physician in Manchester, New Hampshire. She went to Oakland Univ, William Beaumont School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Dartmouth-hitchcock Clinic, Mary Hitchcock Memorial Hospital and her current practice location is 100 Hitchcock Way, Manchester, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 308-1467.

Kimberly Ellis is licensed to practice in New Hampshire (license number 23152) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386094217.

Contact Information

	Kimberly Ellis, MD
	100 Hitchcock Way, Manchester, NH 03104-4125
	(603) 308-1467
	Not Available

Map and Direction

Physician's Profile

Full Name	Kimberly Ellis
Gender	Female
Speciality	General Surgery
Experience	8 Years
Location	100 Hitchcock Way, Manchester, New Hampshire
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly Ellis attended and graduated from Oakland Univ, William Beaumont School Of Medicine in 2016

NPI Data:

NPI Number: 1386094217
Provider Enumeration Date: 06/22/2016
Last Update Date: 10/03/2022

Medicare PECOS Information:

PECOS PAC ID: 8921402421
Enrollment ID: I20221108002074

Medical Identifiers

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

Identifier	Type	State	Issuer
1386094217	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	A173760 (California)	Secondary
2086X0206X	Surgery - Surgical Oncology	A173760 (California)	Secondary
208600000X	Surgery	23152 (New Hampshire)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mary Hitchcock Memorial Hospital	Lebanon, NH	Hospital
Elliot Hospital	Manchester, NH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dartmouth-hitchcock Clinic	4183537509	1138
Mary Hitchcock Memorial Hospital	4486561164	955

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. Kimberly Ellis allows following entities to bill medicare on her behalf.

Entity Name	Mary Hitchcock Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023092053 PECOS PAC ID: 4486561164 Enrollment ID: O20031126000258

Entity Name	Dartmouth-hitchcock Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442

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. Kimberly 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
Kimberly Ellis, MD Po Box 810, Hanover, NH 03755-0810 Ph: (603) 308-1467	Kimberly Ellis, MD 100 Hitchcock Way, Manchester, NH 03104-4125 Ph: (603) 308-1467

Reviews and Comments

Surgery Doctors in Manchester, NH

Dr. Jeffrey Robert Harnsberger, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Hitchcock Way, Manchester, NH 03104 Phone: 603-695-2840 Fax: 603-695-2985
Elena K Foster, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 185 Queen City Ave, Manchester, NH 03101 Phone: 603-627-1102 Fax: 603-647-5524
Elizabeth Sailhamer Soukup, M.D., M.M.SC. Surgery Medicare: Medicare Enrolled Practice Location: 1 Elliot Way, Manchester, NH 03103 Phone: 603-663-8393 Fax: 603-663-3493
Jessica Niewodowski, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 185 Queen City Ave, Manchester, NH 03101 Phone: 603-627-1102
Kimberly Ann Licciardi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 764 2nd St, Manchester, NH 03102 Phone: 603-669-3925
Esthia Konstantinos Giakovis-sterling, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 184 Tarrytown Rd, Manchester, NH 03103 Phone: 603-627-1102 Fax: 603-647-5524
Edward P. Dalton, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Elliot Breast Health Center, 275 Mammoth Road, Suite 1, Manchester, NH 03109 Phone: 603-668-3067 Fax: 603-668-0164

Kimberly Ellis, MD - Medicare General Surgery in Manchester, NH