Dr Dustin Clay Ellis, MD in Sullivan, IN - Medicare Family Practice

Dr Dustin Clay Ellis, MD is a medicare enrolled "Family Medicine" physician in Sullivan, Indiana. He went to Indiana University School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sullivan County Community Hospital and his current practice location is 2186 N Hospital Blvd Ste 2, Sullivan, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 268-3318.

Dr Dustin Clay Ellis is licensed to practice in Indiana (license number 11013685A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1962658989.

Contact Information

	Dr Dustin Clay Ellis, MD
	2186 N Hospital Blvd Ste 2, Sullivan, IN 47882-7654
	(812) 268-3318
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Dustin Clay Ellis
Gender	Male
Speciality	Family Practice
Experience	17 Years
Location	2186 N Hospital Blvd Ste 2, Sullivan, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Dustin Clay Ellis attended and graduated from Indiana University School Of Medicine in 2007

NPI Data:

NPI Number: 1962658989
Provider Enumeration Date: 08/11/2008
Last Update Date: 04/27/2021

Medicare PECOS Information:

PECOS PAC ID: 3779630926
Enrollment ID: I20090406000246

Medical Identifiers

Medical identifiers for Dr Dustin Clay Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962658989	NPI	-	NPPES
200015680A	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	11013685A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Amedisys Home Health	Bloomington, IN	Home health agency
Home Health Care Solutions Llc	Avon, IN	Home health agency
Sullivan County Community Hospital	Sullivan, IN	Hospital
Union Hospital Inc	Terre haute, IN	Hospital
Greene County General Hospital	Linton, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sullivan County Community Hospital	2466497482	29

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. Dr Dustin Clay Ellis allows following entities to bill medicare on his behalf.

Entity Name	Mso Clinics Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154741296 PECOS PAC ID: 0547486136 Enrollment ID: O20140813002412

Entity Name	Sullivan County Community Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497363303 PECOS PAC ID: 2466497482 Enrollment ID: O20200831000591

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 Dustin Clay 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 Dustin Clay Ellis, MD Po Box 230, 2229 Mary Sherman Drive, Sullivan, IN 47882-0230 Ph: (812) 268-3318	Dr Dustin Clay Ellis, MD 2186 N Hospital Blvd Ste 2, Sullivan, IN 47882-7654 Ph: (812) 268-3318

Reviews and Comments

Family Medicine Doctors in Sullivan, IN

Alexandria Clements, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2186 N Hospital Blvd Ste 2, Sullivan, IN 47882 Phone: 812-268-4311
Barbara Ann Reed-schuessler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2186 N Hospital Blvd Ste 2, Sullivan, IN 47882 Phone: 812-268-3318
Mary Ann Chavez, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 N Section St, Sullivan Medical Clinic, Sullivan, IN 47882 Phone: 812-268-3901 Fax: 812-268-0674
Dr. Carl F. Conwell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2229 Mary Sherman Dr, Sullivan, IN 47882 Phone: 812-268-3318 Fax: 812-268-4017
Dr. Ernest Steve Dupre, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2229 Mary Sherman Dr, Sullivan, IN 47882 Phone: 812-268-3318 Fax: 812-268-4017

Dr Dustin Clay Ellis, MD - Medicare Family Practice in Sullivan, IN