Mark L Ellis, MD - Medicare Diagnostic Radiology in Eden Prairie, MN

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Mark L Ellis, MD is a medicare enrolled "Specialist" physician in Eden Prairie, Minnesota. He graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Premier Radiology Inc, Virtual Radiologic Professionals Llc, Premier Radiology Inc, Sidney Health Center and his current practice location is 11995 Singletree Ln Ste 500, Eden Prairie, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 595-1301.

Mark L Ellis is licensed to practice in Mississippi (license number 13170) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1598791535.

Contact Information

Mark L Ellis, MD
11995 Singletree Ln Ste 500,
Eden Prairie, MN 55344-5349
(952) 595-1301
(612) 294-4903

Map and Direction




Physician's Profile

Full NameMark L Ellis
GenderMale
SpecialityDiagnostic Radiology
Experience33 Years
Location11995 Singletree Ln Ste 500, Eden Prairie, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mark L Ellis graduated from medical school in 1991
  NPI Data:
  • NPI Number: 1598791535
  • Provider Enumeration Date: 06/23/2006
  • Last Update Date: 10/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4385698588
  • Enrollment ID: I20050310000472

Medical Identifiers

Medical identifiers for Mark L Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598791535NPI-NPPES
00112542MedicaidMS
300124842OtherMSRAIL ROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 13170 (Mississippi)Secondary
174400000XSpecialist 13170 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cox Medical CentersSpringfield, MOHospital
Merit Health NatchezNatchez, MSHospital
Clay County Medical CorporationWest point, MSHospital
Medical Center HospitalOdessa, TXHospital
Ozarks Medical CenterWest plains, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Premier Radiology Inc276945224222
Virtual Radiologic Professionals Llc4981608817352
Premier Radiology Inc276945224222
Sidney Health Center074918153560

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. Mark L Ellis allows following entities to bill medicare on his behalf.
Entity NameGolden Triangle Radiology, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144234527
PECOS PAC ID: 4284614298
Enrollment ID: O20040721000862
Entity NamePremier Radiology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083669121
PECOS PAC ID: 2769452242
Enrollment ID: O20040730000681
Entity NameImaging Center At Gloster Creek Village Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417907536
PECOS PAC ID: 5991771255
Enrollment ID: O20040908000606
Entity NameNorth Sunflower Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891705133
PECOS PAC ID: 7618932294
Enrollment ID: O20041123000318
Entity NameMedical Imaging, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316075864
PECOS PAC ID: 5698731271
Enrollment ID: O20041206000515
Entity NameWinston County Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316078108
PECOS PAC ID: 7315943255
Enrollment ID: O20061017000019
Entity NameImaging Centers For Excellence, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730281148
PECOS PAC ID: 6406854538
Enrollment ID: O20061127000362
Entity NameOxford Pre Op & Imaging Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750646436
PECOS PAC ID: 0840444998
Enrollment ID: O20130125000383
Entity NameVirtual Radiologic Professionals Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932342029
PECOS PAC ID: 4981608817
Enrollment ID: O20131121000824
Entity NameChoctaw Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235547878
PECOS PAC ID: 2567682206
Enrollment ID: O20141215002502
Entity NameBaptist Memorial Hospital - Calhoun Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881142461
PECOS PAC ID: 5395024210
Enrollment ID: O20161203000022
Entity NameSpecialists In Medical Imaging Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841687951
PECOS PAC ID: 2163733544
Enrollment ID: O20220829001504
Entity NameTate County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285331298
PECOS PAC ID: 6103282165
Enrollment ID: O20230517000566

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. Mark L 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 AddressPractice Location Address
Mark L Ellis, MD
Po Box 7695,
Columbus, MS 39705-0026

Ph: (662) 328-2476		Mark L Ellis, MD
11995 Singletree Ln Ste 500,
Eden Prairie, MN 55344-5349

Ph: (952) 595-1301

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.