Dr Mark Frederick Ellison, MD in Athens, GA

Dr Mark Frederick Ellison, MD is a Urology physician based in Athens, Georgia. Dr Mark Frederick Ellison is licensed to practice in Georgia (license number 026107) and his current practice location is 2142 W Broad St, Building 200, Suite 200, Athens, Georgia. He can be reached at his office (for appointments etc.) via phone at (706) 612-9401.

NPI number for Dr Mark Frederick Ellison is 1265431092 and his current mailing address is Po Box 6127, Athens, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265431092.

Contact Information

	Dr Mark Frederick Ellison, MD
	2142 W Broad St, Building 200, Suite 200, Athens, GA 30606-3506
	(706) 612-9401
	(706) 612-9410

Map and Direction

Physician's Profile

Full Name	Dr Mark Frederick Ellison
Gender	Male
Speciality	Urology
Location	2142 W Broad St, Athens, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1265431092
Provider Enumeration Date: 07/14/2005
Last Update Date: 03/07/2023

Medical Identifiers

Medical identifiers for Dr Mark Frederick Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265431092	NPI	-	NPPES
000370994F	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	026107 (Georgia)	Primary

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 Mark Frederick Ellison is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Mark Frederick Ellison, MD Po Box 6127, Athens, GA 30604-6127 Ph: (706) 612-9401	Dr Mark Frederick Ellison, MD 2142 W Broad St, Building 200, Suite 200, Athens, GA 30606-3506 Ph: (706) 612-9401

Reviews and Comments

Urology Doctors in Athens, GA

Stephanie Johnson, NP Urology Medicare: Accepting Medicare Assignments Practice Location: 1500 Oglethorpe Ave, Suite 2000, Athens, GA 30606 Phone: 706-543-6261
Mark A Adams, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 957 Baxter Street, Athens, GA 30606 Phone: 706-549-4999 Fax: 706-549-0410
Dr. David Carter Allen, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 120 Trinity Pl, Athens, GA 30607 Phone: 706-543-2718 Fax: 706-353-3709

Dr Mark Frederick Ellison, MD - Urology in Athens, GA