Anthony Forrest Ellis, PT | |
808 Ward St W, Douglas, GA 31533-3514 | |
(912) 383-0559 | |
(912) 383-0614 |
Full Name | Anthony Forrest Ellis |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 45 Years |
Location | 808 Ward St W, Douglas, Georgia |
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 |
---|---|---|---|
1528078300 | NPI | - | NPPES |
000278429G | Medicaid | GA | |
000278429D | Medicaid | GA | |
000278429F | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 001108 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rehabilitation Services Of Coffee, Inc | 8426043753 | 2 |
Provider Name | Rehabilitation Services Of Coffee, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255440517 PECOS PAC ID: 8426043753 Enrollment ID: O20040416000970 |
Mailing Address | Practice Location Address |
---|---|
Anthony Forrest Ellis, PT Po Box 2150, Tifton, GA 31793-2150 Ph: (912) 383-0559 | Anthony Forrest Ellis, PT 808 Ward St W, Douglas, GA 31533-3514 Ph: (912) 383-0559 |
Independent Physical Therapy Of Ga, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Ward St W, Douglas, GA 31533 Phone: 912-525-5400 Fax: 912-525-3571 | |
Stephen R Miller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1150 West Ward Street Extension, Magnolia Place B-1, Douglas, GA 31533 Phone: 912-384-4813 Fax: 912-383-9090 | |
Rehabilitation Services Of Coffee, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 808 Ward St W, Douglas, GA 31533 Phone: 912-383-0559 Fax: 912-383-0614 | |
Kristy A Weems, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 310 Shirley Ave, Douglas, GA 31533 Phone: 912-260-3650 Fax: 912-383-7361 | |
Natalie Douglas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Ward St W, Douglas, GA 31533 Phone: 912-525-5400 Fax: 912-525-3571 | |
Terri Denise Fussell, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1360 Gordon St W, Douglas, GA 31533 Phone: 912-384-6522 |