Nicolas Gerald Ellis, MD in Lebanon, NH - Medicare Emergency Medicine

Nicolas Gerald Ellis, MD is a medicare enrolled "Emergency Medicine" physician in Lebanon, New Hampshire. He went to Geisel School Of Medicine At Dartmouth and graduated in 2011 and has 13 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Jefferson Emergency Physicians Pllc and his current practice location is 1 Medical Center Dr, Lebanon, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 650-5000.

Nicolas Gerald Ellis is licensed to practice in New Hampshire (license number RT-2527) 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 1811261118.

Contact Information

	Nicolas Gerald Ellis, MD
	1 Medical Center Dr, Lebanon, NH 03756-1000
	(603) 650-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Nicolas Gerald Ellis
Gender	Male
Speciality	Emergency Medicine
Experience	13 Years
Location	1 Medical Center Dr, Lebanon, New Hampshire
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:

Nicolas Gerald Ellis attended and graduated from Geisel School Of Medicine At Dartmouth in 2011

NPI Data:

NPI Number: 1811261118
Provider Enumeration Date: 03/05/2012
Last Update Date: 08/08/2013

Medicare PECOS Information:

PECOS PAC ID: 5294033510
Enrollment ID: I20161114000408

Medical Identifiers

Medical identifiers for Nicolas Gerald Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811261118	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	RT-2527 (New Hampshire)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christus Southeast Texas- St Elizabeth	Beaumont, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jefferson Emergency Physicians Pllc	4880048560	54

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. Nicolas Gerald Ellis allows following entities to bill medicare on his behalf.

Entity Name	Jefferson Emergency Medicine Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497966949 PECOS PAC ID: 8325130925 Enrollment ID: O20070828000367

Entity Name	Jasper Emergency Medicine Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346442746 PECOS PAC ID: 7618062241 Enrollment ID: O20070927000597

Entity Name	Sound Physicians Emergency Medicine Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518475557 PECOS PAC ID: 9739449802 Enrollment ID: O20180209001251

Entity Name	Southeast Emergency Medicine Associates, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831781491 PECOS PAC ID: 2062820616 Enrollment ID: O20210420000721

Entity Name	Jefferson Emergency Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609559699 PECOS PAC ID: 4880048560 Enrollment ID: O20230928003491

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. Nicolas Gerald 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
Nicolas Gerald Ellis, MD 1 Medical Center Drive, Lebanon, NH 03756 Ph: (603) 650-5000	Nicolas Gerald Ellis, MD 1 Medical Center Dr, Lebanon, NH 03756-1000 Ph: (603) 650-5000

Reviews and Comments

Emergency Medicine Doctors in Lebanon, NH

Katherine Little, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Dept. Of Emer. Med., Lebanon, NH 03756 Phone: 603-650-7254
Douglas A Deaett, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 125 Mascoma St, Lebanon, NH 03766 Phone: 603-448-3121 Fax: 603-448-7462
Dr. Karen Michelle Custodio, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-5000
Dr. Patricia L Lanter, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Dr, Dhmc - Dept Of Emergency Medicine, Lebanon, NH 03756 Phone: 603-650-7254
Thomas W Trimarco, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Dhmc - Emergency Medicine, Lebanon, NH 03756 Phone: 603-650-7000 Fax: 603-650-4516
Nancy Philips, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Drive, Dartmouth Hithcock Medical Center, Lebanon, NH 03756 Phone: 603-650-7254
Jon Jordan Gray, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: One Medical Center Dr, Lebanon, NH 03756 Phone: 603-650-7254

Nicolas Gerald Ellis, MD - Medicare Emergency Medicine in Lebanon, NH