| Dr Carmen Jay Ellie Jr, MD | |
|
191 N Main St, Wellsville, NY 14895-1150 | |
| (585) 235-1514 | |
| (585) 426-4997 |
| Full Name | Dr Carmen Jay Ellie Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 37 Years |
| Location | 191 N Main St, Wellsville, New York |
| 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 |
|---|---|---|---|
| 1922042225 | NPI | - | NPPES |
| 110179566 | Other | NY | RRM LEGACY# |
| 000523980003 | Other | NY | BCBS |
| 01487365 | Medicaid | NY | |
| P00392597 | Other | NY | RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 191341-1 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Claxton-hepburn Medical Center | 8426966508 | 32 |
| Carthage Area Hospital Inc | 9931010485 | 81 |
| Entity Name | Carthage Area Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053497388 PECOS PAC ID: 9931010485 Enrollment ID: O20040209000856 |
| Entity Name | The Memorial Hospital Of William F And Gertrude F Jones Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720030703 PECOS PAC ID: 7012828486 Enrollment ID: O20040310000938 |
| Entity Name | Delphi Hospitalist Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922270420 PECOS PAC ID: 5395819478 Enrollment ID: O20080807000352 |
| Entity Name | Delphi Healthcare Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003075029 PECOS PAC ID: 9537229661 Enrollment ID: O20081119000839 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carmen Jay Ellie Jr, MD 345 Country Woods Ln, Rochester, NY 14626-4701 Ph: (585) 225-9230 | Dr Carmen Jay Ellie Jr, MD 191 N Main St, Wellsville, NY 14895-1150 Ph: (585) 235-1514 |
Dr. Tamara Ann Prull, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 191 N Main St, Wellsville, NY 14895 Phone: 585-247-6810 Fax: 315-589-9406 | |
Dr. Chiemeka Joseph Nwokonko, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 191 N Main St, Wellsville, NY 14895 Phone: 585-247-6810 Fax: 315-589-9406 |