Richard R Ellis, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in San Pedro, California. His current practice location is
1300 W. 7th Street, San Pedro, California. You can reach out to his office (for appointments etc.) via phone at
(310) 514-5250.
Richard R Ellis is licensed to practice in California (license number G23337) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1952354607.
Physician's Profile
Full Name | Richard R Ellis |
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Gender | Male |
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Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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Location | 1300 W. 7th Street, San Pedro, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1952354607
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 01/27/2016
Medicare PECOS Information:
- PECOS PAC ID: 4880662097
- Enrollment ID: I20111213000171
Medical Identifiers
Medical identifiers for Richard R Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952354607 | NPI | - | NPPES |
00G233370 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | G23337 (California) | Primary |
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. Richard R Ellis allows following entities to bill medicare on his behalf.
Entity Name | Affiliated Pathologists Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730119553 PECOS PAC ID: 7315840535 Enrollment ID: O20040127000838 |
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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. Richard R 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 |
Richard R Ellis, MD 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 Ph: (310) 225-3244 | Richard R Ellis, MD 1300 W. 7th Street, San Pedro, CA 90732 Ph: (310) 514-5250 |
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