| Dr George Frederick Ellis, MD | |
|
89 W Copeland Dr, Orlando, FL 32806-2002 | |
| (321) 842-6910 | |
| (321) 843-5998 |
| Full Name | Dr George Frederick Ellis |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 89 W Copeland Dr, Orlando, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033144597 | NPI | - | NPPES |
| 273075800 | Medicaid | FL | |
| ME49437 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 163161 (New York) | Primary |
| 208800000X | Urology | ME49437 (Florida) | Secondary |
| Entity Name | Orlando Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr George Frederick Ellis, MD 571 Saint Josephs Blvd, Fl 2, Elmira, NY 14901-3230 Ph: (607) 271-2050 | Dr George Frederick Ellis, MD 89 W Copeland Dr, Orlando, FL 32806-2002 Ph: (321) 842-6910 |
Robert Anthony Badalament, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-897-3499 Fax: 407-896-9454 | |
Nabil Hilwa, MD Urology Medicare: Medicare Enrolled Practice Location: 7301 Stonerock Cir, Orlando, FL 32819 Phone: 407-298-6950 Fax: 407-578-2354 | |
Albert Michael Ong, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 41 W Kaley St, Orlando, FL 32806 Phone: 407-843-6645 Fax: 407-843-4519 | |
Jason Cheng-en Sea, MD, FRCSC Urology Medicare: Accepting Medicare Assignments Practice Location: 2101 Park Center Dr Ste 130, Orlando, FL 32835 Phone: 407-298-6950 Fax: 407-578-2354 | |
Joshua Adam Earl, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1812 N Mills Ave, Orlando, FL 32803 Phone: 407-897-3499 Fax: 407-896-9454 | |
Dr. Lucas Ross Wiegand, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 303 E Par St, Orlando, FL 32804 Phone: 877-876-3627 Fax: 321-843-4101 |