Dr Ezra Daniel Ellis, MD in Gainesville, GA

Dr Ezra Daniel Ellis, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Gainesville, Georgia. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Gainesville Regional Pathology Associates, Pc and his current practice location is 743 Spring St Ne, Gainesville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 219-1136.

Dr Ezra Daniel Ellis is licensed to practice in Georgia (license number 70094) 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 1164602611.

Contact Information

	Dr Ezra Daniel Ellis, MD
	743 Spring St Ne, Gainesville, GA 30501-3715
	(770) 219-1136
	(770) 219-6204

Map and Direction

Physician's Profile

Full Name	Dr Ezra Daniel Ellis
Gender	Male
Speciality	Pathology
Experience	21 Years
Location	743 Spring St Ne, Gainesville, Georgia
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 Ezra Daniel Ellis graduated from medical school in 2003

NPI Data:

NPI Number: 1164602611
Provider Enumeration Date: 11/13/2007
Last Update Date: 10/28/2019

Medicare PECOS Information:

PECOS PAC ID: 5698846541
Enrollment ID: I20130911000317

Medical Identifiers

Medical identifiers for Dr Ezra Daniel Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164602611	NPI	-	NPPES
000010167581	Other	ID	REGENCE BLUESHIELD OF IDAHO
77342	Other	ID	BLUECROSS OF IDAHO
808087600	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	M-10161 (Idaho)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	2007-00176 (North Carolina)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	70094 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northeast Georgia Medical Center, Inc	Gainesville, GA	Hospital
Barrow Regional Medical Center	Winder, GA	Hospital
Habersham County Medical Ctr	Demorest, GA	Hospital
Northside Hospital	Atlanta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gainesville Regional Pathology Associates, Pc	6608860929	7

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 Ezra Daniel Ellis allows following entities to bill medicare on his behalf.

Entity Name	Gainesville Regional Pathology Associates, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942239637 PECOS PAC ID: 6608860929 Enrollment ID: O20040412000122

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 Ezra Daniel 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 Ezra Daniel Ellis, MD Po Box 3293, Indianapolis, IN 46206-3293 Ph: (317) 614-9863	Dr Ezra Daniel Ellis, MD 743 Spring St Ne, Gainesville, GA 30501-3715 Ph: (770) 219-1136

Reviews and Comments

Pathology Doctors in Gainesville, GA

Namita Pareek, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2324 Limestone Overlook, Gainesville, GA 30501 Phone: 678-997-2105 Fax: 770-536-3203
Jaime L Morel Ruiz, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-7828
Dr. Rosanne Grace Frost, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-291-2813 Fax: 770-219-6240
Frederick Stephen Moore, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2324 Limestone Overlook, Gainesville, GA 30501 Phone: 770-536-8109 Fax: 770-536-3203
Dr. John Luke Kalarickal, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2324 Limestone Overlook, Gainesville, GA 30501 Phone: 770-536-8109 Fax: 770-536-3203
Rodney Lewis Smith, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-534-1986 Fax: 770-297-5645

Dr Ezra Daniel Ellis, MD - Medicare Pathology in Gainesville, GA