Dr Jimmy Scott Ellis, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Craig, Colorado. He graduated from medical school in 1995 and has 31 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Obhg South Dakota Pc and his current practice location is
785 Russell St, Suite 100, Craig, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 826-2420.
Dr Jimmy Scott Ellis is licensed to practice in Colorado (license number 46656) 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 1609891795.
Physician's Profile
| Full Name | Dr Jimmy Scott Ellis |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 31 Years |
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| Location | 785 Russell St, Craig, Colorado |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jimmy Scott Ellis graduated from medical school in 1995
NPI Data:
- NPI Number: 1609891795
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 03/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 5395805386
- Enrollment ID: I20231102003738
Medical Identifiers
Medical identifiers for Dr Jimmy Scott Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609891795 | NPI | - | NPPES |
| 1609891795 | Medicaid | SD | |
| 8J3940 | Other | TX | BCBS |
| 159097801 | Medicaid | TX | |
| 133125100 | Other | | FIRSTCARE & SW LIFE&HEALT |
| 311819386790650000 | Other | | TRICARE |
| 3277999 | Other | | CIGNA |
| P00070099 | Other | TX | RAILROAD MEDICARE |
| 7431448 | Other | | AETNA |
| 01936531 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | OP61014771 (Washington) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 14709 (South Dakota) | Secondary |
| 207V00000X | Obstetrics & Gynecology | L6229 (Texas) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 46656 (Colorado) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Obhg South Dakota Pc | 5496100703 | 4 |
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 Jimmy Scott Ellis allows following entities to bill medicare on his behalf.
| Entity Name | Rushmore Ob-gyn Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316050214
PECOS PAC ID: 7517871213
Enrollment ID: O20031117000853 |
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| Entity Name | Obhg South Dakota Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164110243
PECOS PAC ID: 5496100703
Enrollment ID: O20231006000000 |
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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 Jimmy Scott 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 Jimmy Scott Ellis, DO
785 Russell St, Suite 100,
Craig, CO 81625-2019
Ph: (970) 826-2420 | Dr Jimmy Scott Ellis, DO
785 Russell St, Suite 100,
Craig, CO 81625-2019
Ph: (970) 826-2420 |
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