Thomas Wilks Ellis Iii, PA C in Maple Grove, MN

Thomas Wilks Ellis Iii, PA C is a medicare enrolled "Physician Assistant" in Maple Grove, Minnesota. His current practice location is 12000 Elm Creek Blvd N, Suite 360, Maple Grove, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 315-4300.

Thomas Wilks Ellis Iii is licensed to practice in Minnesota (license number 9063) 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 1881632891.

Contact Information

	Thomas Wilks Ellis Iii, PA C
	12000 Elm Creek Blvd N, Suite 360, Maple Grove, MN 55369-7073
	(763) 315-4300
	(763) 315-4360

Map and Direction

Provider's Profile

Full Name	Thomas Wilks Ellis Iii
Gender	Male
Speciality	Physician Assistant
Location	12000 Elm Creek Blvd N, Maple Grove, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881632891
Provider Enumeration Date: 06/02/2006
Last Update Date: 09/24/2012

Medicare PECOS Information:

PECOS PAC ID: 8527052729
Enrollment ID: I20141024001189

Medical Identifiers

Medical identifiers for Thomas Wilks Ellis Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881632891	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	9063 (Minnesota)	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. Thomas Wilks Ellis Iii 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
Thomas Wilks Ellis Iii, PA C 2873 233rd Ln Nw, St Francis, MN 55070-8630 Ph: (763) 753-3306	Thomas Wilks Ellis Iii, PA C 12000 Elm Creek Blvd N, Suite 360, Maple Grove, MN 55369-7073 Ph: (763) 315-4300

Reviews and Comments

Physician Assistant Nurses in Maple Grove, MN

Emily Lou Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9630 Grove Cir N Ste 200, Maple Grove, MN 55369 Phone: 763-520-7870 Fax: 763-520-7580
Kelsey Kostreba, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9825 Hospital Dr Ste 105, Maple Grove, MN 55369 Phone: 763-780-6699 Fax: 763-420-0500
Jordan Lillian Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10150 Niagara Ln N # 100, Maple Grove, MN 55369 Phone: 224-213-5886
George Onyango, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9855 Hospital Dr Ste 102a, Maple Grove, MN 55369 Phone: 763-581-9220 Fax: 763-581-9221
Kristen Marie Finnegan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9855 Hospital Dr # 102a, Maple Grove, MN 55369 Phone: 763-581-9223
Tanner Jesus Verduzco, Physician Assistant Medicare: Medicare Enrolled Practice Location: 12000 Elm Creek Blvd N Ste 300, Maple Grove, MN 55369 Phone: 952-841-2345 Fax: 952-841-2346
Austin James Heneman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12000 Elm Creek Blvd N Ste 300, Maple Grove, MN 55369 Phone: 952-841-2345 Fax: 952-841-2346

Thomas Wilks Ellis Iii, PA C - Medicare Physician Assistant in Maple Grove, MN