Keith Ellis, PT in Chesterton, IN - Medicare Physical Therapy Provider

Keith Ellis, PT is a medicare enrolled "Physical Therapist" provider in Chesterton, Indiana. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Innovative Physical Therapy Llc and his current practice location is 502 E 1100 N, Chesterton, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 926-5850.

Keith Ellis is licensed to practice in Indiana (license number 05010042A) 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 1972823367.

Contact Information

	Keith Ellis, PT
	502 E 1100 N, Chesterton, IN 46304
	(219) 926-5850
	(219) 250-2072

Map and Direction

Healthcare Provider's Profile

Full Name	Keith Ellis
Gender	Male
Speciality	Physical Therapy
Experience	15 Years
Location	502 E 1100 N, Chesterton, Indiana
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:

Keith Ellis graduated from medical school in 2009

NPI Data:

NPI Number: 1972823367
Provider Enumeration Date: 06/08/2010
Last Update Date: 11/26/2021

Medicare PECOS Information:

PECOS PAC ID: 1658404793
Enrollment ID: I20100727000271

Medical Identifiers

Medical identifiers for Keith Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972823367	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	05010042A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Innovative Physical Therapy Llc	0941506406	8

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. Keith Ellis allows following entities to bill medicare on his behalf.

Provider Name	Innovative Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1578937447 PECOS PAC ID: 0941506406 Enrollment ID: O20160309000787

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. Keith 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
Keith Ellis, PT 502 E 1100 N, Chesterton, IN 46304-9697 Ph: (219) 926-5850	Keith Ellis, PT 502 E 1100 N, Chesterton, IN 46304 Ph: (219) 926-5850

Reviews and Comments

Physical Therapist in Chesterton, IN

Mrs. Victoria Jean Vinet, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 425 Sand Creek Dr Ste C, Chesterton, IN 46304 Phone: 219-926-9779 Fax: 219-926-9889
Matthew David Radencic, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1595 S Calumet Rd, Chesterton, IN 46304 Phone: 844-896-0235 Fax: 219-898-4258
Samantha Higgins, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 601 Gateway Blvd N, Chesterton, IN 46304 Phone: 219-921-1444 Fax: 219-926-6926
Lauren Evenson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 S Calumet Rd Ste 3, Chesterton, IN 46304 Phone: 219-983-9675
Jennifer Nicole Racette, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 751 E Porter Ave Ste 2, Chesterton, IN 46304 Phone: 219-926-5850 Fax: 219-250-2072
Amber N Eckert, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 S Calumet Rd, Chesterton, IN 46304 Phone: 219-983-9675
Laura Wassilak, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 S Calumet Rd, Suite 3, Chesterton, IN 46304 Phone: 219-983-9675 Fax: 219-983-9681

Keith Ellis, PT - Medicare Physical Therapist in Chesterton, IN