Trent Parker Ellis, DMD in Joint Base Lewis Mcchord, WA

Trent Parker Ellis, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Joint Base Lewis Mcchord, Washington. His current practice location is 9040a Jackson Avenue, Joint Base Lewis Mcchord, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 968-0174.

Trent Parker Ellis is licensed to practice in Washington (license number 61404526) 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 1356828347.

Contact Information

	Trent Parker Ellis, DMD
	9040a Jackson Avenue, Joint Base Lewis Mcchord, WA 98431-7719
	(253) 968-0174
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Trent Parker Ellis
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	9040a Jackson Avenue, Joint Base Lewis Mcchord, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356828347
Provider Enumeration Date: 07/23/2018
Last Update Date: 09/06/2023

Medicare PECOS Information:

PECOS PAC ID: 8628519923
Enrollment ID: I20240925004171

Medical Identifiers

Medical identifiers for Trent Parker Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356828347	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	61404526 (Washington)	Primary
122300000X	Dentist	10101 (Kentucky)	Secondary

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. Trent Parker 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
Trent Parker Ellis, DMD 9434 Copperway, Converse, TX 78109-2063 Ph: (801) 859-7315	Trent Parker Ellis, DMD 9040a Jackson Avenue, Joint Base Lewis Mcchord, WA 98431-7719 Ph: (253) 968-0174

Reviews and Comments

Dentist in Joint Base Lewis Mcchord, WA

Anna-jane Smith, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 504 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438 Phone: 253-201-4535
Dr. Andrew Lawrence Kary, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3740 South 14th St, Joint Base Lewis Mcchord, WA 98433 Phone: 253-967-5271
Emily Phelan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3740 South 14th Street, Joint Base Lewis Mcchord, WA 98431 Phone: 253-967-5271
Dr. Steven Minh Phung, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Lefler Dental Clinic, Joint Base Lewis Mcchord, WA 98433 Phone: 253-967-4505

Trent Parker Ellis, DMD - Medicare Dentist in Joint Base Lewis Mcchord, WA