Mark A Ellis, DDS in Cass Lake, MN - Medicare Dentist Provider

Mark A Ellis, DDS is a medicare enrolled "Dentist" provider in Cass Lake, Minnesota. His current practice location is 425 7th St Nw, Cass Lake, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 335-3230.

Mark A Ellis is licensed to practice in Texas (license number 0025030) 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 1154655082.

Contact Information

	Mark A Ellis, DDS
	425 7th St Nw, Cass Lake, MN 56633-3360
	(218) 335-3230
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mark A Ellis
Gender	Male
Speciality	Dentist
Location	425 7th St Nw, Cass Lake, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154655082
Provider Enumeration Date: 09/24/2009
Last Update Date: 10/26/2009

Medicare PECOS Information:

PECOS PAC ID: 0840507059
Enrollment ID: I20160503002566

Medical Identifiers

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

Identifier	Type	State	Issuer
1154655082	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	0025030 (Texas)	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. Mark A Ellis allows following entities to bill medicare on his behalf.

Entity Name	Department Of Health & Human Services Phs Ihs
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194754382 PECOS PAC ID: 7517879794 Enrollment ID: O20031105000353

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. Mark A 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
Mark A Ellis, DDS 425 7th St Nw, Cass Lake, MN 56633-3360 Ph: (218) 335-3230	Mark A Ellis, DDS 425 7th St Nw, Cass Lake, MN 56633-3360 Ph: (218) 335-3230

Reviews and Comments

Dentist in Cass Lake, MN

Dr. Jadilyn Nguyen Grittner, DDS Dentist Medicare: Medicare Enrolled Practice Location: 425 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3414 Fax: 218-335-3368
Dr. Frances Anne Olson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 425 7th St Nw, Cass Lake Ihs Hospital, Cass Lake, MN 56633 Phone: 218-335-3230 Fax: 218-335-3368
Dr. John Phillip Gonzales, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 425 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3230
Dr. Robert Mork, DDS Dentist Medicare: Medicare Enrolled Practice Location: 425 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3200
Mrs. Brandy Leeann Larson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 425 7th St Nw, Cass Lake Indian Hospital, Cass Lake, MN 56633 Phone: 218-335-3234 Fax: 218-335-3368
Laura Stewart, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 425 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3200

Mark A Ellis, DDS - Medicare Dentist in Cass Lake, MN