Mark A Ellis, MD | |
1765 Old West Broad St, Bldg 1 Ste 200, Athens, GA 30606-2867 | |
(706) 208-0451 | |
(706) 208-0147 |
Full Name | Mark A Ellis |
---|---|
Gender | Male |
Speciality | Interventional Pain Management |
Experience | 39 Years |
Location | 1765 Old West Broad St, Athens, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730150194 | NPI | - | NPPES |
000526479B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208VP0014X | Pain Medicine - Interventional Pain Medicine | 036525 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Athens Regional Medical Center | Athens, GA | Hospital |
Piedmont Walton Hospital | Monroe, GA | Hospital |
St Mary's Hospital | Athens, GA | Hospital |
Barrow Regional Medical Center | Winder, GA | Hospital |
St. Mary's Good Samaritan Hospital | Greensboro, GA | Hospital |
Entity Name | Mark A. Ellis, M.d., Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841261294 PECOS PAC ID: 1557305638 Enrollment ID: O20050620000617 |
Mailing Address | Practice Location Address |
---|---|
Mark A Ellis, MD Po Box 7577, Athens, GA 30604-7577 Ph: (706) 208-0451 | Mark A Ellis, MD 1765 Old West Broad St, Bldg 1 Ste 200, Athens, GA 30606-2867 Ph: (706) 208-0451 |
Dr. Reginald Strother, M.D. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 1620 Prince Ave, Athens, GA 30606 Phone: 706-549-8114 Fax: 706-549-0151 | |
Dr. Daniel Stephen Thomas, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 830 King Ave, Athens, GA 30606 Phone: 706-425-2400 Fax: 706-425-2410 | |
Dr. Richard D Campbell, M.D. Pain Medicine Medicare: Medicare Enrolled Practice Location: 1620 Prince Ave, Athens, GA 30606 Phone: 770-868-5644 Fax: 770-868-5650 |