Keith Errett Ellis, MD - Medicare Family Medicine in Savannah, GA

Keith Errett Ellis, MD is a medicare enrolled "Family Medicine" physician in Savannah, Georgia. His current practice location is 1107 E 66th St, Savannah, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 350-8404.

Keith Errett Ellis is licensed to practice in Georgia (license number 26106) 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 1356490775.

Contact Information

Keith Errett Ellis, MD
1107 E 66th St,
Savannah, GA 31404-5701
(912) 350-8404
(912) 350-8067

Map and Direction




Physician's Profile

Full NameKeith Errett Ellis
GenderMale
SpecialityFamily Medicine
Location1107 E 66th St, Savannah, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356490775
  • Provider Enumeration Date: 01/09/2007
  • Last Update Date: 03/03/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6709948706
  • Enrollment ID: I20081230000253

Medical Identifiers

Medical identifiers for Keith Errett Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356490775NPI-NPPES
000526578CMedicaidGA
000526578BMedicaidGA
080164682OtherGARR MEDICARE
CH5121OtherGARR MEDICARE GROUP ID
GRP3905OtherGAGA MEDICARE GROUP ID
G26106MedicaidSC
582162071-014OtherHMHS/TRICARE SOUTH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 26106 (Georgia)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. Keith Errett Ellis allows following entities to bill medicare on his behalf.
Entity NameMppg Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033131172
PECOS PAC ID: 7012829351
Enrollment ID: O20040223000338

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. Keith Errett 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
Keith Errett Ellis, MD
1107 E 66th St,
Savannah, GA 31404-5701

Ph: (912) 350-8404
Keith Errett Ellis, MD
1107 E 66th St,
Savannah, GA 31404-5701

Ph: (912) 350-8404

Reviews and Comments


Family Medicine Doctors in Savannah, GA

Thomas Danello, M.D.
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Practice Location: 361 Commercial Dr, Savannah, GA 31406
Phone: 912-355-6221    Fax: 912-355-6914
Cindy Ann Gleit, MD
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Practice Location: 1107 E 66th St, Savannah, GA 31404
Phone: 912-350-8404    Fax: 912-350-8067
Megan Boyd, FNP-C
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Phone: 912-819-8187    
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Practice Location: 51 Johnny Mercer Blvd. Cottage A-1, Savannah, GA 31410
Phone: 912-999-8617    Fax: 912-216-3946
Dr. Peter Christian Miller, M.D.
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Phone: 912-691-4100    
Shaun Iletha Franklin, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 325 W Montgomery Xrd, Savannah, GA 31406
Phone: 912-920-0214    Fax: 912-921-2004
Dr. Theodore Geffen, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1326 Eisenhower Dr, Savannah, GA 31406
Phone: 912-691-4100    Fax: 912-691-4289

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.