Charli Ellis, DO - Medicare Psychiatry in Syracuse, NY

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Charli Ellis, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Syracuse, New York. She went to University Of North Texas Hsc, College Of Osteopathic Med and graduated in 2010 and has 15 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Healthtexas Provider Network and her current practice location is 301 Prospect Ave, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at (315) 726-8610.

Charli Ellis is licensed to practice in New York (license number 316745) 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 1114239316.

Contact Information

Charli Ellis, DO
301 Prospect Ave,
Syracuse, NY 13203-1807
(315) 726-8610
Not Available

Map and Direction




Physician's Profile

Full NameCharli Ellis
GenderFemale
SpecialityPsychiatry
Experience15 Years
Location301 Prospect Ave, Syracuse, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charli Ellis attended and graduated from University Of North Texas Hsc, College Of Osteopathic Med in 2010
  NPI Data:
  • NPI Number: 1114239316
  • Provider Enumeration Date: 07/06/2010
  • Last Update Date: 07/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6002035813
  • Enrollment ID: I20140909002515

Medical Identifiers

Medical identifiers for Charli Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114239316NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 316745 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baylor University Medical CenterDallas, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Healthtexas Provider Network13552542102048

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charli Ellis allows following entities to bill medicare on her behalf.
Entity NameHealthtexas Provider Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760488936
PECOS PAC ID: 1355254210
Enrollment ID: O20040727001187
Entity NameMccd Psychiatry Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033750823
PECOS PAC ID: 4082049036
Enrollment ID: O20211008000289
Entity NameMccd Fl Psychiatry Services Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659003457
PECOS PAC ID: 4880064070
Enrollment ID: O20230119002574

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. Charli 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 AddressPractice Location Address
Charli Ellis, DO
301 Prospect Ave,
Syracuse, NY 13203-1807

Ph: (315) 726-8610		Charli Ellis, DO
301 Prospect Ave,
Syracuse, NY 13203-1807

Ph: (315) 726-8610

Reviews and Comments


Psychiatry & Neurology Doctors in Syracuse, NY

Mantosh J Dewan, M.D.
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Deborah Y Bradshaw, M.D.
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Sarah Rosner, MD
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Wilbur Theodore Albrecht Iii, M.D.
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Dr. Clarence G. White, M.D.
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Phone: 315-726-8610    Fax: 315-726-8667
Dr. Wendy Anne Armenta, M.D.
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Phone: 315-425-4400    
Dr. Ahmed R Nizar, M.D.
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Practice Location: 742 James St, Outpatient Mental Health Services, Syracuse, NY 13203
Phone: 315-703-2700    Fax: 315-703-2700

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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