Mr Ryan Michael Ellis, PA in Wildomar, CA - Medicare Physician Assistant

Mr Ryan Michael Ellis, PA is a medicare enrolled "Physician Assistant - Medical" in Wildomar, California. His current practice location is 36485 Inland Valley Dr, Wildomar, California. You can reach out to his office (for appointments etc.) via phone at (951) 566-5610.

Mr Ryan Michael Ellis is licensed to practice in California (license number PA21959) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1528336146.

Contact Information

	Mr Ryan Michael Ellis, PA
	36485 Inland Valley Dr, Wildomar, CA 92595-9681
	(951) 566-5610
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Ryan Michael Ellis
Gender	Male
Speciality	Physician Assistant - Medical
Location	36485 Inland Valley Dr, Wildomar, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528336146
Provider Enumeration Date: 12/09/2011
Last Update Date: 11/29/2021

Medicare PECOS Information:

PECOS PAC ID: 0042236978
Enrollment ID: I20220311001820

Medical Identifiers

Medical identifiers for Mr Ryan Michael Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528336146	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA21959 (California)	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. Mr Ryan Michael 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
Mr Ryan Michael Ellis, PA 36485 Inland Valley Dr, Wildomar, CA 92595-9681 Ph: (951) 566-5610	Mr Ryan Michael Ellis, PA 36485 Inland Valley Dr, Wildomar, CA 92595-9681 Ph: (951) 566-5610

Reviews and Comments

Physician Assistant Nurses in Wildomar, CA

Charity Morris Yoon, Physician Assistant Medicare: Medicare Enrolled Practice Location: 23905 Clinton Keith Rd, #114, Wildomar, CA 92595 Phone: 951-672-7673 Fax: 951-672-1197
Lisa M Bornmann, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 36485 Inland Valley Dr, Wildomar, CA 92595 Phone: 909-677-9773
Paul K Grover, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 36485 Inland Valley Dr, Wildomar, CA 92595 Phone: 909-677-9773
Julie Marie Shryock Elias, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 36485 Inland Valley Dr, Wildomar, CA 92595 Phone: 951-304-7187
Joseph S Demattia, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 36485 Inland Valley Dr, Wildomar, CA 92595 Phone: 909-677-9773
Michael A Davalos, PA, MS Physician Assistant Medicare: Medicare Enrolled Practice Location: 36243 Inland Valley Dr, Ste 180, Wildomar, CA 92595 Phone: 951-600-0110 Fax: 951-600-4645
Mrs. Glennise Daneen Pratt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 36320 Inland Valley Drive, 307, Wildomar, CA 92595 Phone: 951-600-0110 Fax: 951-600-1489

Mr Ryan Michael Ellis, PA - Medicare Physician Assistant in Wildomar, CA