Russell L Ellis, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Sports Medicine" physician in Decatur, Alabama. 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 | |
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Experience | 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 in
NPI Data:
- NPI Number: 1134292766
- Provider Enumeration Date: 11/15/2006
- Last Update Date: 10/22/2007
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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