Dr Mark Brian Ellis, DO in Enterprise, AL

Dr Mark Brian Ellis, DO is a medicare enrolled "Family Medicine" physician in Enterprise, Alabama. He went to Kansas City University Of Med & Biosciences, College Of Osteo Med and graduated in 1994 and has 30 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Dale Medical Center and his current practice location is 1018 Rucker Blvd, Ste A, Enterprise, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 347-4343.

Dr Mark Brian Ellis is licensed to practice in Alabama (license number DO463) 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 1083632244.

Contact Information

	Dr Mark Brian Ellis, DO
	1018 Rucker Blvd, Ste A, Enterprise, AL 36330-3675
	(334) 347-4343
	(334) 393-9611

Map and Direction

Physician's Profile

Full Name	Dr Mark Brian Ellis
Gender	Male
Speciality	Family Practice
Experience	30 Years
Location	1018 Rucker Blvd, Enterprise, Alabama
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 Mark Brian Ellis attended and graduated from Kansas City University Of Med & Biosciences, College Of Osteo Med in 1994

NPI Data:

NPI Number: 1083632244
Provider Enumeration Date: 07/17/2006
Last Update Date: 04/04/2018

Medicare PECOS Information:

PECOS PAC ID: 3971593138
Enrollment ID: I20040518000754

Medical Identifiers

Medical identifiers for Dr Mark Brian Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083632244	NPI	-	NPPES
009971495	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	DO463 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Dale Medical Center	Ozark, AL	Hospital
Medical Center Enterprise	Enterprise, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dale Medical Center	3476466327	21

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 Mark Brian Ellis allows following entities to bill medicare on his behalf.

Entity Name	Dale Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538275342 PECOS PAC ID: 3476466327 Enrollment ID: O20031107000202

Entity Name	Southland Medical Solutions Of Ozark, Pl
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144545500 PECOS PAC ID: 6608907415 Enrollment ID: O20100623000165

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 Mark Brian 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
Dr Mark Brian Ellis, DO 1018 Rucker Blvd, Ste A, Enterprise, AL 36330-3675 Ph: (334) 347-4343	Dr Mark Brian Ellis, DO 1018 Rucker Blvd, Ste A, Enterprise, AL 36330-3675 Ph: (334) 347-4343

Reviews and Comments

Family Medicine Doctors in Enterprise, AL

Dr. Walter J Lawrence, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 551 Glover Ave, Enterprise, AL 36330 Phone: 334-475-2058 Fax: 334-489-4308
Mary Leona Walch Pippin, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Professional Ln, Enterprise, AL 36330 Phone: 334-347-3404
Beverly F Jordan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Brunson St, Suite 200, Enterprise, AL 36330 Phone: 334-393-3686 Fax: 334-347-4906
Dr. Richard Allen Roller, MD, PHD Family Medicine Medicare: Medicare Enrolled Practice Location: 805 E Lee St, Suite C, Enterprise, AL 36330 Phone: 334-348-8818 Fax: 334-393-8773
Mrs. Leeann Mcaliley Kettunen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Brunson St, Suite 200, Enterprise, AL 36330 Phone: 334-393-3686 Fax: 334-347-4906
Whitni Michael Richard, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Professional Ln, Enterprise, AL 36330 Phone: 334-347-3404

Dr Mark Brian Ellis, DO - Medicare Family Practice in Enterprise, AL