Mark L Ellis, MD is a medicare enrolled "Specialist" physician in Eden Prairie, Minnesota. 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.
Physician's Profile
Full Name | Mark L Ellis |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 11995 Singletree Ln Ste 500, Eden Prairie, Minnesota |
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Accepts Medicare Assignments | Yes. 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 attended and graduated from in
NPI Data:
- NPI Number: 1598791535
- Provider Enumeration Date: 06/23/2006
- Last Update Date: 10/02/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mark L Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598791535 | NPI | - | NPPES |
00112542 | Medicaid | MS | |
300124842 | Other | MS | RAIL ROAD MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 13170 (Mississippi) | Secondary |
174400000X | Specialist | 13170 (Mississippi) | Primary |
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 Address | Practice 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 |
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