Richard Alan Ellis, MD | |
7705 Poplar Ave, Suite 310, Germantown, TN 38138-3930 | |
(901) 516-6300 | |
(901) 516-6350 |
Full Name | Richard Alan Ellis |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 49 Years |
Location | 7705 Poplar Ave, Germantown, Tennessee |
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 |
---|---|---|---|
1174581623 | NPI | - | NPPES |
Q014601 | Medicaid | TN | |
6042000 | Other | TN | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 16474 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Memorial Hospital North Ms | Oxford, MS | Hospital |
Methodist Healthcare Memphis Hospitals | Memphis, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Spg Ii Llc | 7012177132 | 8 |
Entity Name | Spg Ii Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255602587 PECOS PAC ID: 7012177132 Enrollment ID: O20120328000259 |
Mailing Address | Practice Location Address |
---|---|
Richard Alan Ellis, MD 965 Ridge Lake Blvd, Memphis, TN 38120-9401 Ph: (901) 227-4692 | Richard Alan Ellis, MD 7705 Poplar Ave, Suite 310, Germantown, TN 38138-3930 Ph: (901) 516-6300 |
Dr. Lisa K Torp, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7945 Wolf River Blvd, Germantown, TN 38138 Phone: 901-683-0055 Fax: 901-685-2969 | |
Dr. Nicholas Raymond Leonardi, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7945 Wolf River Blvd, Germantown, TN 38138 Phone: 901-683-0055 | |
Daniel Mark Alterman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1385 W Brierbrook Rd, Germantown, TN 38138 Phone: 901-390-2930 Fax: 901-390-2940 | |
Dr. Michael P Berry, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7945 Wolf River Blvd, Germantown, TN 38138 Phone: 901-683-0055 | |
Timothy Joseph Weatherall, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1385 W Brierbrook Rd, Germantown, TN 38138 Phone: 901-390-2930 | |
Mark Page Miller, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7655 Poplar Ave, Suite 230, Germantown, TN 38138 Phone: 901-753-6163 Fax: 901-753-6159 |