Jeffrey Lee Ellis, MD - Medicare Urology in Maywood, IL

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Jeffrey Lee Ellis, MD is a medicare enrolled "Urology" physician in Maywood, Illinois. His current practice location is 2160 S 1st Ave, Maywood, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 216-9000.

Jeffrey Lee Ellis is licensed to practice in Illinois (license number 036160253) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538698543.

Contact Information

Jeffrey Lee Ellis, MD
2160 S 1st Ave,
Maywood, IL 60153-3328
(708) 216-9000
Not Available

Map and Direction




Physician's Profile

Full NameJeffrey Lee Ellis
GenderMale
SpecialityUrology
Location2160 S 1st Ave, Maywood, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538698543
  • Provider Enumeration Date: 06/05/2017
  • Last Update Date: 06/24/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5395124200
  • Enrollment ID: I20220623002551

Medical Identifiers

Medical identifiers for Jeffrey Lee Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538698543NPI-NPPES
MT212656OtherPAPENNSYLVANIA STATE BOARD OF MEDICINE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology MT212656 (Pennsylvania)Secondary
390200000XStudent In An Organized Health Care Education/training Program MT212656 (Pennsylvania)Secondary
208800000XUrology 036160253 (Illinois)Primary

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. Jeffrey Lee Ellis allows following entities to bill medicare on his behalf.
Entity NameLoyola University Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336159961
PECOS PAC ID: 3779488903
Enrollment ID: O20031202000027
Entity NameLoyola Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376041954
PECOS PAC ID: 6305109547
Enrollment ID: O20180420002063

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. Jeffrey Lee 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
Jeffrey Lee Ellis, MD
5501 Old York Rd,
Philadelphia, PA 19141-3018

Ph: () -		Jeffrey Lee Ellis, MD
2160 S 1st Ave,
Maywood, IL 60153-3328

Ph: (708) 216-9000

Reviews and Comments


Urology Doctors in Maywood, IL

Timothy Moonhwan Han, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-8467    
Dr. Liam Hatch, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-6901    Fax: 708-216-6585
Christopher Gonzalez, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Maywood, IL 60153
Phone: 708-216-9000    
Dr. Grace Bayudan Delos Santos, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Loyola University Medical Center, Bldg 101, Room 1739, Maywood, IL 60153
Phone: 708-216-9000    
Dr. Derek John Matoka, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 2160 S 1st Ave, Building 54, Maywood, IL 60153
Phone: 708-216-6266    Fax: 708-216-6585
Gopal N. Gupta, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Fahey Center, Bldg 54, Maywood, IL 60153
Phone: 708-216-5098    Fax: 708-126-1699
Dr. Ahmer V Farooq, D.O.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 2160 S 1st Ave, Department Of Urology, Fahey Center Rm 260, Maywood, IL 60153
Phone: 708-216-5100    Fax: 708-216-8991

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.