Dr Jerry H Ellis, OD | |
197 Hospital Drive, Suite A, Cherokee Village, AR 72529-7315 | |
(870) 257-2100 | |
(870) 257-4395 |
Full Name | Dr Jerry H Ellis |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 34 Years |
Location | 197 Hospital Drive, Cherokee Village, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083776611 | NPI | - | NPPES |
128855722 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2408 (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Progressive Eye Center Inc | 7810962438 | 3 |
Provider Name | Progressive Eye Center Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649397126 PECOS PAC ID: 7810962438 Enrollment ID: O20040827000675 |
Provider Name | Progressive Eye Center Of Piggott Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396053021 PECOS PAC ID: 3971787649 Enrollment ID: O20110405000822 |
Provider Name | Progressive Eye Center Of Paragould, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326527995 PECOS PAC ID: 1951652924 Enrollment ID: O20181002000339 |
Mailing Address | Practice Location Address |
---|---|
Dr Jerry H Ellis, OD 197 Hospital Drive, Suite A, Cherokee Village, AR 72529-7315 Ph: (870) 257-2100 | Dr Jerry H Ellis, OD 197 Hospital Drive, Suite A, Cherokee Village, AR 72529-7315 Ph: (870) 257-2100 |
Progressive Eye Center Inc Optometrist Medicare: Medicare Enrolled Practice Location: 197 Hospital Drive, Suite A, Cherokee Village, AR 72529 Phone: 870-257-2100 Fax: 870-257-4395 | |
Elizabeth M Kilgore, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 197 Hospital Dr Ste A, Cherokee Village, AR 72529 Phone: 870-257-2100 Fax: 870-257-4395 |