Dr Russell John Ellicott, DPM is a medicare enrolled "Podiatrist" provider in Martinez, Georgia. He went to Kent State University College Of Podiatric Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Podiatry. His current practice location is
501 Furys Ferry Rd, Martinez, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 738-3298.
Dr Russell John Ellicott is licensed to practice in Georgia (license number POD000558) 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 1720022452.
Healthcare Provider's Profile
| Full Name | Dr Russell John Ellicott |
|---|
| Gender | Male |
|---|
| Speciality | Podiatry |
|---|
| Experience | 42 Years |
|---|
| Location | 501 Furys Ferry Rd, Martinez, 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. |
|---|
Medical Education and Training:
- Dr Russell John Ellicott attended and graduated from Kent State University College Of Podiatric Medicine in 1982
NPI Data:
- NPI Number: 1720022452
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 02/06/2019
Medicare PECOS Information:
- PECOS PAC ID: 6406137520
- Enrollment ID: I20170104001473
Medical Identifiers
Medical identifiers for Dr Russell John Ellicott such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720022452 | NPI | - | NPPES |
| 00336124A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 96 (South Carolina) | Secondary |
| 213E00000X | Podiatrist | POD000558 (Georgia) | Primary |
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. Dr Russell John Ellicott 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 |
|---|
Dr Russell John Ellicott, DPM
501 Fury's Ferry Road,
Martinez, GA 30907
Ph: (706) 738-3298 | Dr Russell John Ellicott, DPM
501 Furys Ferry Rd,
Martinez, GA 30907-9059
Ph: (706) 738-3298 |
Reviews and Comments