Dr Carly Ellis, DO is a
Internal Medicine physician based in Chester, Vermont. Dr Carly Ellis is licensed to practice in Vermont (license number 134060) and her current practice location is 1824 Vt 11, Chester, Vermont. She can be reached at her office (for appointments etc.) via phone at
(610) 906-5514.
NPI number for Dr Carly Ellis is 1144516857 and her current mailing address is 1824 Vt 11, Chester, Vermont. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144516857.
Physician's Profile
| Full Name | Dr Carly Ellis |
|---|
| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 1824 Vt 11, Chester, Vermont |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1144516857
- Provider Enumeration Date: 06/21/2011
- Last Update Date: 12/04/2024
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 |
|---|
| 207R00000X | Internal Medicine | 134060 (Vermont) | Primary |
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
NOT enrolled with medicare and thus cannot 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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