Dr Dustin Clay Ellis, MD | |
2186 N Hospital Blvd Ste 2, Sullivan, IN 47882-7654 | |
(812) 268-3318 | |
Not Available |
Full Name | Dr Dustin Clay Ellis |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 17 Years |
Location | 2186 N Hospital Blvd Ste 2, Sullivan, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962658989 | NPI | - | NPPES |
200015680A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 11013685A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health | Bloomington, IN | Home health agency |
Sullivan County Community Hospital | Sullivan, IN | Hospital |
Greene County General Hospital | Linton, IN | Hospital |
Union Hospital Inc | Terre haute, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sullivan County Community Hospital | 2466497482 | 33 |
Entity Name | Mso Clinics Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154741296 PECOS PAC ID: 0547486136 Enrollment ID: O20140813002412 |
Entity Name | Sullivan County Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497363303 PECOS PAC ID: 2466497482 Enrollment ID: O20200831000591 |
Mailing Address | Practice Location Address |
---|---|
Dr Dustin Clay Ellis, MD Po Box 230, 2229 Mary Sherman Drive, Sullivan, IN 47882-0230 Ph: (812) 268-3318 | Dr Dustin Clay Ellis, MD 2186 N Hospital Blvd Ste 2, Sullivan, IN 47882-7654 Ph: (812) 268-3318 |
Alexandria Clements, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2186 N Hospital Blvd Ste 2, Sullivan, IN 47882 Phone: 812-268-4311 | |
Barbara Ann Reed-schuessler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2186 N Hospital Blvd Ste 2, Sullivan, IN 47882 Phone: 812-268-3318 | |
Mary Ann Chavez, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 N Section St, Sullivan Medical Clinic, Sullivan, IN 47882 Phone: 812-268-3901 Fax: 812-268-0674 | |
Dr. Carl F. Conwell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2229 Mary Sherman Dr, Sullivan, IN 47882 Phone: 812-268-3318 Fax: 812-268-4017 | |
Dr. Ernest Steve Dupre, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2229 Mary Sherman Dr, Sullivan, IN 47882 Phone: 812-268-3318 Fax: 812-268-4017 |