Dr Carly Ellis, DO is a medicare enrolled "Internal Medicine" physician in Chester, Vermont. She went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2011 and has 14 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Brattleboro Memorial Hospital and her current practice location is
1824 Vt 11, Chester, Vermont. You can reach out to her office (for appointments etc.) via phone at
(610) 906-5514.
Dr Carly Ellis is licensed to practice in Vermont (license number 134060) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144516857.
Physician's Profile
| Full Name | Dr Carly Ellis |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 14 Years |
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| Location | 1824 Vt 11, Chester, Vermont |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Carly Ellis attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2011
NPI Data:
- NPI Number: 1144516857
- Provider Enumeration Date: 06/21/2011
- Last Update Date: 12/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 4082837745
- Enrollment ID: I20250725003241
Medical Identifiers
Medical identifiers for Dr Carly Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144516857 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 134060 (Vermont) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Brattleboro Memorial Hospital | 9335112929 | 78 |
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. Dr Carly 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 |
|---|
Dr Carly Ellis, DO
1824 Vt 11,
Chester, VT 05143-8621
Ph: () - | Dr Carly Ellis, DO
1824 Vt 11,
Chester, VT 05143-8621
Ph: (610) 906-5514 |
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