Benjamin Kweku Ellis, PHYSICIAN ASSISTANT is a
Physician Assistant based in Jarratt, Virginia. Benjamin Kweku Ellis is licensed to practice in Virginia (license number 0110001469) and his current practice location is
901 Correction Way, Jarratt, Virginia. He can be reached at his office (for appointments etc.) via phone at
(434) 535-7098.
NPI number for Benjamin Kweku Ellis is 1235345075 and his current mailing address is 6206 Arbor Banks Ter, Chester, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235345075.
Provider's Profile
| Full Name | Benjamin Kweku Ellis |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 901 Correction Way, Jarratt, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1235345075
- Provider Enumeration Date: 05/16/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Benjamin Kweku Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235345075 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 0110001469 (Virginia) | 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. Benjamin Kweku Ellis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Benjamin Kweku Ellis, PHYSICIAN ASSISTANT
6206 Arbor Banks Ter,
Chester, VA 23831-7752
Ph: (804) 796-5018 | Benjamin Kweku Ellis, PHYSICIAN ASSISTANT
901 Correction Way,
Jarratt, VA 23870-9998
Ph: (434) 535-7098 |
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