Clarence V Ellis, MD in Lakewood, CO - Medicare Family Medicine

Clarence V Ellis, MD is a medicare enrolled "Family Medicine" physician in Lakewood, Colorado. His current practice location is 12790 W Alameda Pkwy Ste A, Lakewood, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 403-6350.

Clarence V Ellis is licensed to practice in Colorado (license number 33692) 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 1982647475.

Contact Information

	Clarence V Ellis, MD
	12790 W Alameda Pkwy Ste A, Lakewood, CO 80228-2850
	(303) 403-6350
	(303) 403-6372

Map and Direction

Physician's Profile

Full Name	Clarence V Ellis
Gender	Male
Speciality	Family Medicine
Location	12790 W Alameda Pkwy Ste A, Lakewood, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982647475
Provider Enumeration Date: 06/13/2006
Last Update Date: 01/25/2012

Medicare PECOS Information:

PECOS PAC ID: 4688704141
Enrollment ID: I20100609000515

Medical Identifiers

Medical identifiers for Clarence V Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982647475	NPI	-	NPPES
0801103606	Other		MEDICARE RAILROAD
61572578	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	33692 (Colorado)	Primary
2083X0100X	Preventive Medicine - Occupational Medicine	33692 (Colorado)	Secondary

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. Clarence V Ellis allows following entities to bill medicare on his behalf.

Entity Name	Intermountain Front Range, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083444079 PECOS PAC ID: 6800799537 Enrollment ID: O20040130000049

Entity Name	Intermountain Medical Group Denver, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083021083 PECOS PAC ID: 0840513552 Enrollment ID: O20150106000131

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. Clarence V 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
Clarence V Ellis, MD 2420 W 26th Ave Ste 400d, Denver, CO 80211-5357 Ph: (303) 988-4870	Clarence V Ellis, MD 12790 W Alameda Pkwy Ste A, Lakewood, CO 80228-2850 Ph: (303) 403-6350

Reviews and Comments

Family Medicine Doctors in Lakewood, CO

Dr. Kathryn Burkhardt Goeke, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11600 W 2nd Pl, Lakewood, CO 80228 Phone: 720-321-0000 Fax: 720-321-1759
Joshua R Ward, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11600 W 2nd Pl, Lakewood, CO 80228 Phone: 303-731-9782 Fax: 720-321-1759
Aimee Sue Nelson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8585 W 14th Ave, Suite B2, Lakewood, CO 80215 Phone: 303-238-1201 Fax: 303-238-2981
Dr. Kris Alan Johnson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 155 Van Gordon St, Suite #395, Lakewood, CO 80228 Phone: 303-914-2680
Edward Shuherk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12790 W Alameda Pkwy, Lakewood, CO 80228 Phone: 303-403-6350 Fax: 303-403-6372
Dr. Hyun Jae Kim, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8383 W Alameda Ave, Lakewood, CO 80226 Phone: 303-338-4545
Alan Schultz, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 165 S Union Blvd Ste 800, Lakewood, CO 80228 Phone: 303-988-2680 Fax: 303-986-8057

Clarence V Ellis, MD - Medicare Family Medicine in Lakewood, CO