| Dr Bryan Jon Ellis, DO | |
|
10506 Montgomery Rd Ste 304, Montgomery, OH 45242-4400 | |
| (513) 853-9000 | |
| (513) 984-2692 |
| Full Name | Dr Bryan Jon Ellis |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 32 Years |
| Location | 10506 Montgomery Rd Ste 304, Montgomery, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487745964 | NPI | - | NPPES |
| 2192050 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 34005984 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bethesda North | Cincinnati, OH | Hospital |
| Good Samaritan Hospital | Cincinnati, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trihealth H Llc | 1850570458 | 759 |
| Entity Name | Trihealth G Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295862944 PECOS PAC ID: 0749222651 Enrollment ID: O20050601000358 |
| Entity Name | Trihealth H Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811215742 PECOS PAC ID: 1850570458 Enrollment ID: O20110128000356 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bryan Jon Ellis, DO 1270 Solutions Center, Po Box 771270, Chicago, IL 60677-1002 Ph: (513) 542-6898 | Dr Bryan Jon Ellis, DO 10506 Montgomery Rd Ste 304, Montgomery, OH 45242-4400 Ph: (513) 853-9000 |
Michael Curtis Petro, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 10506 Montgomery Rd Ste 304, Montgomery, OH 45242 Phone: 513-865-9959 | |
Dr. Amy Elizabeth Murphy, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 10506 Montgomery Rd Ste 101, Montgomery, OH 45242 Phone: 513-232-8181 | |
Dr. Mark Joseph Broering Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10506a Montgomery Rd, Montgomery, OH 45242 Phone: 513-865-9898 Fax: 513-865-9900 | |
Nathan L Huber, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10506 Montgomery Rd Ste 304, Montgomery, OH 45242 Phone: 513-853-9000 Fax: 513-624-2964 | |
Clair Murray, APRN Surgery Medicare: Accepting Medicare Assignments Practice Location: 10506 Montgomery Rd Ste 200a, Montgomery, OH 45242 Phone: 513-865-9898 |