Mr Mark D Ellis, NP - Medicare Nurse Practitioner in Johnson City, TX

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Mr Mark D Ellis, NP is a medicare enrolled "Nurse Practitioner - Family" in Johnson City, Texas. He went to University Of Texas Medical Branch At Galveston and graduated in 1997 and has 27 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Scott And White Hospital - Marble Falls and his current practice location is 208 Haley Rd, Johnson City, Texas. You can reach out to his office (for appointments etc.) via phone at (830) 868-9500.

Mr Mark D Ellis is licensed to practice in Texas (license number AP108475) 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 1508868530.

Contact Information

Mr Mark D Ellis, NP
208 Haley Rd,
Johnson City, TX 78636-4617
(830) 868-9500
(830) 868-4606

Map and Direction




Provider's Profile

Full NameMr Mark D Ellis
GenderMale
SpecialityNurse Practitioner
Experience27 Years
Location208 Haley Rd, Johnson City, Texas
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:
  • Mr Mark D Ellis attended and graduated from University Of Texas Medical Branch At Galveston in 1997
  NPI Data:
  • NPI Number: 1508868530
  • Provider Enumeration Date: 08/10/2005
  • Last Update Date: 08/10/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0143496323
  • Enrollment ID: I20120110000755

Medical Identifiers

Medical identifiers for Mr Mark D Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508868530NPI-NPPES
8N3533OtherTXBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 609633 (Texas)Secondary
363LF0000XNurse Practitioner - Family AP108475 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Texas Home Health Group Of Marble Falls, LlcMarble falls, TXHome health agency
Baylor Scott & White Medical Center - Marble FallsMarble falls, TXHospital
Baylor Scott & White Pavilion - TempleTemple, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Scott And White Hospital - Marble Falls690111717529

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. Mr Mark D Ellis allows following entities to bill medicare on his behalf.
Entity NameUt Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033157821
PECOS PAC ID: 8426960360
Enrollment ID: O20031107000268
Entity NameScott & White Hospital - Marble Falls
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295397859
PECOS PAC ID: 6901117175
Enrollment ID: O20190926002132

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. Mr Mark D 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
Mr Mark D Ellis, NP
Po Box 844658,
Dallas, TX 75284-4658

Ph: (254) 724-2111		Mr Mark D Ellis, NP
208 Haley Rd,
Johnson City, TX 78636-4617

Ph: (830) 868-9500

Reviews and Comments


Nurse Practitioner Nurses in Johnson City, TX

Ms. Mary Elizabeth Eilers, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Lindig Ln, Johnson City, TX 78636
Phone: 830-868-2997    
Mrs. Jovawna Dawn Ellison-hubbard, MSN,APRN,FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 405 S Us Highway 281, Ste 101 C, Johnson City, TX 78636
Phone: 830-868-7800    Fax: 830-992-2861

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.