Hakeem S Ellis, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Kettering, OH

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Hakeem S Ellis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Kettering, Ohio. He went to Rush Medical College Of Rush University and graduated in 2014 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Sandusky Anesthesia Llc, Anesthesiology Services Network Ltd and his current practice location is 3535 Southern Blvd, Kettering, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 293-8228.

Hakeem S Ellis is licensed to practice in Ohio (license number APRN.CRNA.16878) 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 1750786331.

Contact Information

Hakeem S Ellis, CRNA
3535 Southern Blvd,
Kettering, OH 45429-1221
(937) 293-8228
(937) 293-8229

Map and Direction




Provider's Profile

Full NameHakeem S Ellis
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience10 Years
Location3535 Southern Blvd, Kettering, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Hakeem S Ellis attended and graduated from Rush Medical College Of Rush University in 2014
  NPI Data:
  • NPI Number: 1750786331
  • Provider Enumeration Date: 10/25/2014
  • Last Update Date: 09/01/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5597073668
  • Enrollment ID: I20151009001242

Medical Identifiers

Medical identifiers for Hakeem S Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750786331NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered APRN.CRNA.16878 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Miami Valley HospitalDayton, OHHospital
Kettering Medical CenterKettering, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sandusky Anesthesia Llc3274895271113
Anesthesiology Services Network Ltd8820902794168

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. Hakeem S Ellis allows following entities to bill medicare on his behalf.
Entity NameAnesthesiology Services Network Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821076779
PECOS PAC ID: 8820902794
Enrollment ID: O20031114000467
Entity NameAnesthesia Associates Of Cincinnati, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316945173
PECOS PAC ID: 4789598509
Enrollment ID: O20031117000374
Entity NameKettering Anesthesia Associates, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689627739
PECOS PAC ID: 0648170365
Enrollment ID: O20040109000871
Entity NameGasjobs Of Oh, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235150228
PECOS PAC ID: 3971403130
Enrollment ID: O20040113000149
Entity NameOgi Anesthesia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962776807
PECOS PAC ID: 8224290598
Enrollment ID: O20120502000531
Entity NameCgi Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174914352
PECOS PAC ID: 0840518411
Enrollment ID: O20150410000268
Entity NameImperial Enterprise Of Ohio Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295111318
PECOS PAC ID: 5799081238
Enrollment ID: O20160310000077
Entity NameSandusky Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770907859
PECOS PAC ID: 3274895271
Enrollment ID: O20180402000752

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. Hakeem S 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 AddressPractice Location Address
Hakeem S Ellis, CRNA
Po Box 932759,
Cleveland, OH 44193-0015

Ph: (937) 293-8228		Hakeem S Ellis, CRNA
3535 Southern Blvd,
Kettering, OH 45429-1221

Ph: (937) 293-8228

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Kettering, OH

Timberly Deann Harvey, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-293-8228    Fax: 937-293-8229
Brittney A Wallace, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-293-8228    Fax: 937-293-8229
Christopher A Murray, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-293-8228    Fax: 937-293-8229
Mr. Patrick Bendel, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-293-8228    Fax: 937-293-8229
Karen Vukin, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-293-8228    Fax: 937-293-8229
Vicki S Dursch, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-293-8228    Fax: 937-293-8229
Jolynn K Harmon, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-293-8228    Fax: 937-293-8229

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.