Corey James Ellis, MD in Dayton, OH - Medicare Sports Medicine

Corey James Ellis, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Dayton, Ohio. He went to University Of Cincinnati College Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Wright State Physicians Inc and his current practice location is 30 E Apple St, Suite 2200, Dayton, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 208-2091.

Corey James Ellis is licensed to practice in Ohio (license number 35084741) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376509323.

Contact Information

	Corey James Ellis, MD
	30 E Apple St, Suite 2200, Dayton, OH 45409-2939
	(937) 208-2091
	(937) 208-6141

Map and Direction

Physician's Profile

Full Name	Corey James Ellis
Gender	Male
Speciality	Sports Medicine
Experience	22 Years
Location	30 E Apple St, Dayton, Ohio
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Corey James Ellis attended and graduated from University Of Cincinnati College Of Medicine in 2002

NPI Data:

NPI Number: 1376509323
Provider Enumeration Date: 04/26/2006
Last Update Date: 10/10/2023

Medicare PECOS Information:

PECOS PAC ID: 2062472996
Enrollment ID: I20041014001270

Medical Identifiers

Medical identifiers for Corey James Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376509323	NPI	-	NPPES
2511446	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QS0010X	Family Medicine - Sports Medicine	35084741 (Ohio)	Primary
2080S0010X	Pediatrics - Sports Medicine	35.084741 (Ohio)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Miami Valley Hospital	Dayton, OH	Hospital
Grandview And Southview Hospitals	Dayton, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wright State Physicians Inc	7618889320	124

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. Corey James Ellis allows following entities to bill medicare on his behalf.

Entity Name	Wright State Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114920329 PECOS PAC ID: 7618889320 Enrollment ID: O20031103000097

Entity Name	Dayton Childrens Specialty Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225192610 PECOS PAC ID: 5496916124 Enrollment ID: O20181024001690

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. Corey James 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
Corey James Ellis, MD 725 University Blvd, Dayton, OH 45435-0001 Ph: (937) 245-7100	Corey James Ellis, MD 30 E Apple St, Suite 2200, Dayton, OH 45409-2939 Ph: (937) 208-2091

Reviews and Comments

Family Medicine Doctors in Dayton, OH

Dr. Derek Williamson Sherk, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3077 Kettering Blvd, Suite Number 319, Dayton, OH 45439 Phone: 937-293-2133
Dr. Barbara A Bennett, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8701 Troy Pike Ste 50, Dayton, OH 45424 Phone: 937-233-4252 Fax: 937-233-7605
Jeffrey R Millard, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 30 E Apple St, Ste 6250, Dayton, OH 45409 Phone: 937-208-8394 Fax: 937-208-8388
Dr. Teresa Zryd, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 725 University Blvd, Dayton, OH 45435 Phone: 937-245-7200 Fax: 937-245-7922
Dr. Roger N Rizzardi, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Woodman Dr, Dayton, OH 45432 Phone: 937-252-2000
Dr. Robert Randall Schaffer, M.D., FAAFP Family Medicine Medicare: Medicare Enrolled Practice Location: 4100 W 3rd St, Dayton, OH 45428 Phone: 937-268-6511 Fax: 513-423-3309
Theresa Kern, MS,RN, AGCNS-BC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 324 Wilmington Ave, Dayton, OH 45420 Phone: 937-256-4490 Fax: 937-258-5478

Corey James Ellis, MD - Medicare Sports Medicine in Dayton, OH