Mr Jason Lee Ellen, OD in Jenks, OK - Medicare Optometry Provider

Mr Jason Lee Ellen, OD is a medicare enrolled "Optometrist" provider in Jenks, Oklahoma. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Creek Nation Hospital And Clinics, Oklahoma Medical Eye Group, Creek Nation Hospital And Clinics, Cherokee Nation and his current practice location is 244 S. Gateway Place, Suite 401, Jenks, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 747-2020.

Mr Jason Lee Ellen is licensed to practice in Oklahoma (license number 2272) 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 1962405928.

Contact Information

	Mr Jason Lee Ellen, OD
	244 S. Gateway Place, Suite 401, Jenks, OK 74037
	(918) 747-2020
	(918) 747-2056

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jason Lee Ellen
Gender	Male
Speciality	Optometry
Experience	25 Years
Location	244 S. Gateway Place, Jenks, Oklahoma
Accepts Medicare Assignments	Yes. 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 Jason Lee Ellen graduated from medical school in 1999

NPI Data:

NPI Number: 1962405928
Provider Enumeration Date: 05/24/2005
Last Update Date: 03/22/2019

Medicare PECOS Information:

PECOS PAC ID: 7214036821
Enrollment ID: I20070622000222

Medical Identifiers

Medical identifiers for Mr Jason Lee Ellen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962405928	NPI	-	NPPES
2060377	Other	OK	UNITED HEALTHCARE
100761000A	Medicaid	OK
7518168	Other	OK	AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2272 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Creek Nation Community Hospital	Okemah, OK	Hospital
Cherokee Nation W W Hastings Indian Hospital	Tahlequah, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Creek Nation Hospital And Clinics	5698786226	277
Oklahoma Medical Eye Group	7719291202	9
Creek Nation Hospital And Clinics	5698786226	277
Cherokee Nation	5799698742	361

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 Jason Lee Ellen allows following entities to bill medicare on his behalf.

Provider Name	Northeastern State University College Of Optometry
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1437106333 PECOS PAC ID: 0941112528 Enrollment ID: O20031103000296

Provider Name	Creek Nation Hospital & Clinics
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130

Provider Name	Oklahoma Medical Eye Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1902283229 PECOS PAC ID: 7719291202 Enrollment ID: O20150728004591

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 Jason Lee Ellen 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 Jason Lee Ellen, OD 244 S. Gateway Place, Suite 401, Jenks, OK 74037 Ph: (918) 747-2020	Mr Jason Lee Ellen, OD 244 S. Gateway Place, Suite 401, Jenks, OK 74037 Ph: (918) 747-2020

Reviews and Comments

Optometrist in Jenks, OK

Riverside Eye Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 524 E Main St, Jenks, OK 74037 Phone: 918-296-4733 Fax: 918-296-4734
Insight Eyecare Jenks Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 301 W Main St, Jenks, OK 74037 Phone: 918-296-3937
Riverside Eye Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 524 E Main St, Jenks, OK 74037 Phone: 918-296-4733
Dr. Hannah Sanders, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 224 S Gateway Place, Jenks, OK 74037 Phone: 918-747-2020
Jenks Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 301 W Main St, Jenks, OK 74037 Phone: 918-299-2020 Fax: 918-298-0198
Mr. Brandon Hadel, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 244 S Gateway Place, Suite 401, Jenks, OK 74037 Phone: 918-747-2020 Fax: 918-747-2056
Dr. Mary Joel Sturm, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 224 S Gateway Pl, Suite 101, Jenks, OK 74037 Phone: 918-747-2020 Fax: 918-747-2056

Mr Jason Lee Ellen, OD - Medicare Optometrist in Jenks, OK