Mr Robert Ellsworth Ellis, MD | |
9115 Leesgate Rd, Suite C, Louisville, KY 40222-5003 | |
(502) 719-0782 | |
(502) 719-0787 |
Full Name | Mr Robert Ellsworth Ellis |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 48 Years |
Location | 9115 Leesgate Rd, Louisville, Kentucky |
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 |
---|---|---|---|
1427006816 | NPI | - | NPPES |
1058692 | Other | KY | PASSPORT |
110000678 | Other | KY | MEDICARE RR |
64191943 | Medicaid | KY | |
000000047003 | Other | KY | ANTHEM |
2433985000 | Other | KY | PASSPORT ADVANTAGE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 19194 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Caretenders | Louisville, KY | Home health agency |
Baptist Health Louisville | Louisville, KY | Hospital |
Norton Hospitals, Inc | Louisville, KY | Hospital |
Entity Name | Robert E Ellis Md |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154465276 PECOS PAC ID: 4880630078 Enrollment ID: O20050628000795 |
Mailing Address | Practice Location Address |
---|---|
Mr Robert Ellsworth Ellis, MD 9115 Leesgate Rd, Suite C, Louisville, KY 40222-5003 Ph: (502) 719-0782 | Mr Robert Ellsworth Ellis, MD 9115 Leesgate Rd, Suite C, Louisville, KY 40222-5003 Ph: (502) 719-0782 |
Cindy J Code, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3950 Kresge Way, Suite 303, Louisville, KY 40207 Phone: 502-896-1880 Fax: 502-896-1887 | |
Dr. Uchenna Loretta Ozor, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 E Chestnut St Bldg Suite303, Louisville, KY 40202 Phone: 502-629-5552 Fax: 502-629-3132 | |
Mohamed Hegazi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 529 S Jackson St, Louisville, KY 40202 Phone: 502-562-4270 | |
Dr. Michael Patrick Krease, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1169 Eastern Pkwy Ste G58, Louisville, KY 40217 Phone: 502-452-9567 | |
Dr. Ramsey Nasri Nassar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6400 Dutchmans Pkwy, Ste 250, Louisville, KY 40205 Phone: 502-587-9660 Fax: 502-540-5615 | |
Jeanne M Thompson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Audubon Plaza Dr, Ll2, Louisville, KY 40217 Phone: 502-636-8095 Fax: 502-636-8097 | |
Terrence P Donohue, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3101 Poplar Level Rd Ste 101, Louisville, KY 40213 Phone: 502-636-7444 Fax: 502-636-7112 |