Mr David Williams Ellis, MD is a
General Practice physician based in Millersburg, Pennsylvania. Mr David Williams Ellis is licensed to practice in Pennsylvania (license number MD026575E) and his current practice location is 192 W Center St, Millersburg, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(717) 692-4834.
NPI number for Mr David Williams Ellis is 1386748747 and his current mailing address is Po Box 116, 192 W Center St, Millersburg, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386748747.
Physician's Profile
| Full Name | Mr David Williams Ellis |
|---|
| Gender | Male |
|---|
| Speciality | General Practice |
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| Location | 192 W Center St, Millersburg, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1386748747
- Provider Enumeration Date: 09/07/2006
- Last Update Date: 03/15/2010
Medical Identifiers
Medical identifiers for Mr David Williams Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386748747 | NPI | - | NPPES |
| EL446512 | Other | PA | HIGHMARK BLUE SHIELD |
| 20009377 | Other | | AMERIHEALTH MERCY |
| 0009476790001 | Medicaid | PA | |
| 1522001 | Other | | GATEWAY |
| 232364010 | Other | | TRICARE |
| 02725200 | Other | PA | CAPITAL BLUE CROSS |
| 110013871 | Other | | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | MD026575E (Pennsylvania) | 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. Mr David Williams Ellis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr David Williams Ellis, MD
Po Box 116, 192 W Center St,
Millersburg, PA 17061
Ph: (717) 692-4834 | Mr David Williams Ellis, MD
192 W Center St,
Millersburg, PA 17061-1314
Ph: (717) 692-4834 |
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