Dr Dustin Clay Ellis, MD - Medicare Family Practice in Sullivan, IN

Dr Dustin Clay Ellis, MD is a medicare enrolled "Family Medicine" physician in Sullivan, Indiana. He went to Indiana University School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sullivan County Community Hospital and his current practice location is 2186 N Hospital Blvd Ste 2, Sullivan, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 268-3318.

Dr Dustin Clay Ellis is licensed to practice in Indiana (license number 11013685A) 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 1962658989.

Contact Information

Dr Dustin Clay Ellis, MD
2186 N Hospital Blvd Ste 2,
Sullivan, IN 47882-7654
(812) 268-3318
Not Available

Map and Direction




Physician's Profile

Full NameDr Dustin Clay Ellis
GenderMale
SpecialityFamily Practice
Experience17 Years
Location2186 N Hospital Blvd Ste 2, Sullivan, Indiana
Accepts Medicare AssignmentsYes. 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 Dustin Clay Ellis attended and graduated from Indiana University School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1962658989
  • Provider Enumeration Date: 08/11/2008
  • Last Update Date: 04/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3779630926
  • Enrollment ID: I20090406000246

Medical Identifiers

Medical identifiers for Dr Dustin Clay Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962658989NPI-NPPES
200015680AMedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 11013685A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Home HealthBloomington, INHome health agency
Sullivan County Community HospitalSullivan, INHospital
Greene County General HospitalLinton, INHospital
Union Hospital IncTerre haute, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sullivan County Community Hospital246649748233

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. Dr Dustin Clay Ellis allows following entities to bill medicare on his behalf.
Entity NameMso Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154741296
PECOS PAC ID: 0547486136
Enrollment ID: O20140813002412
Entity NameSullivan County Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497363303
PECOS PAC ID: 2466497482
Enrollment ID: O20200831000591

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 Dustin Clay 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 AddressPractice 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

Reviews and Comments


Family Medicine Doctors in Sullivan, IN

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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.