Mason James Ellis, DPT | |
1401 S Main St Ste 104, Fairfield, IA 52556-3771 | |
(641) 209-1446 | |
Not Available |
Full Name | Mason James Ellis |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | 1401 S Main St Ste 104, Fairfield, Iowa |
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 |
---|---|---|---|
1316514094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 106917 (Iowa) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Conilogue Pt Llc | 7416297312 | 3 |
Provider Name | Conilogue Pt Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1811451016 PECOS PAC ID: 7416297312 Enrollment ID: O20190312002319 |
Mailing Address | Practice Location Address |
---|---|
Mason James Ellis, DPT 1401 S Main St Ste 104, Fairfield, IA 52556-3771 Ph: (641) 209-1446 | Mason James Ellis, DPT 1401 S Main St Ste 104, Fairfield, IA 52556-3771 Ph: (641) 209-1446 |
Megan Thompson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 806 E Fillmore Ave, Fairfield, IA 52556 Phone: 641-919-2427 | |
Dr. Bryndee Leigh Boheman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2000 S Main St, Fairfield, IA 52556 Phone: 641-472-4111 | |
Jacob Wilson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2000 S Main St, Fairfield, IA 52556 Phone: 641-472-4111 | |
Brian Peterson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 907 E Briggs Ave, Fairfield, IA 52556 Phone: 641-469-4353 Fax: 641-469-4288 | |
Rehabvisions Physical Therapist Medicare: Medicare Enrolled Practice Location: 402 W Burlington Ave Ste 200, Fairfield, IA 52556 Phone: 641-469-3130 Fax: 641-243-4884 | |
Donna Jean Williams, PT, CWS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 South Main Street, Fairfield, IA 52556 Phone: 641-472-4111 |