| Donald Ellis, MD | |
|
5939 N Huron Rd, Oscoda, MI 48750-9710 | |
| (989) 739-1441 | |
| (989) 739-6093 |
| Full Name | Donald Ellis |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 5939 N Huron Rd, Oscoda, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700893377 | NPI | - | NPPES |
| 4209088 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301070492 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension At Home | Tawas city, MI | Home health agency |
| Tawas St Joseph Hospital | Tawas city, MI | Hospital |
| Midmichigan Medical Center - Alpena | Alpena, MI | Hospital |
| Ascension St Mary's Hospital | Saginaw, MI | Hospital |
| Midmichigan Medical Center-west Branch | West branch, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mymichigan Medical Center Tawas | 9638070766 | 30 |
| Entity Name | Ascension St Joseph Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194713461 PECOS PAC ID: 9638070766 Enrollment ID: O20040202000682 |
| Mailing Address | Practice Location Address |
|---|---|
| Donald Ellis, MD Po Box 779, Tawas City, MI 48764-0779 Ph: (989) 739-1441 | Donald Ellis, MD 5939 N Huron Rd, Oscoda, MI 48750-9710 Ph: (989) 739-1441 |
Clarence David Wright, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5939 N Huron Rd, Oscoda, MI 48750 Phone: 989-739-1441 Fax: 989-739-6093 | |
Mrs. Rebecca Broschart, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 208 S State St, Oscoda, MI 48750 Phone: 989-739-2550 Fax: 989-358-3750 | |
Dr. Karolina Bulak, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 208 S State St, Oscoda, MI 48750 Phone: 989-739-2550 Fax: 989-358-3750 | |
Calvin J. Maestro Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9100b Wyoming St, Oscoda, MI 48750 Phone: 989-254-2103 | |
Dr. Emily Louise Kloska, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5939 N Huron Rd, Oscoda, MI 48750 Phone: 989-739-1441 Fax: 989-739-6093 |