Russell L Ellis, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Sports Medicine" physician in Decatur, Alabama. He went to University Of Alabama School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Decatur Orthopaedic Clinic Llc and his current practice location is
1103 16th Ave Se, Decatur, Alabama. You can reach out to his office (for appointments etc.) via phone at
(256) 350-0362.
Russell L Ellis is licensed to practice in Alabama (license number 00022020) 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 1134292766.
Physician's Profile
Full Name | Russell L Ellis |
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Gender | Male |
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Speciality | Physical Medicine And Rehabilitation |
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Experience | 27 Years |
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Location | 1103 16th Ave Se, Decatur, Alabama |
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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:
- Russell L Ellis attended and graduated from University Of Alabama School Of Medicine in 1997
NPI Data:
- NPI Number: 1134292766
- Provider Enumeration Date: 11/15/2006
- Last Update Date: 10/22/2007
Medicare PECOS Information:
- PECOS PAC ID: 9739169053
- Enrollment ID: I20101227000609
Medical Identifiers
Medical identifiers for Russell L Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134292766 | NPI | - | NPPES |
51507394 | Other | AL | BLUECROSS BLUESHIELD OF A |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 00022020 (Alabama) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Decatur Orthopaedic Clinic Llc | 5193742823 | 15 |
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. Russell L Ellis allows following entities to bill medicare on his behalf.
Entity Name | Decatur Orthopaedic Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740331347 PECOS PAC ID: 5193742823 Enrollment ID: O20051101000312 |
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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. Russell L 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 |
Russell L Ellis, MD 1103 16th Ave Se, Decatur, AL 35601-3595 Ph: () - | Russell L Ellis, MD 1103 16th Ave Se, Decatur, AL 35601-3595 Ph: (256) 350-0362 |
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