| Dr Miles Wayne Ellis, MD | |
|
4401 River Chase Dr, Emergency Dept., Phenix City, AL 36867-7483 | |
| (334) 732-3000 | |
| (334) 732-3020 |
| Full Name | Dr Miles Wayne Ellis |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 4401 River Chase Dr, Phenix City, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871510644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 039782 (Georgia) | Secondary |
| 207P00000X | Emergency Medicine | 27642 (Alabama) | Primary |
| Entity Name | Correct Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20040615000906 |
| Entity Name | Emergency Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477590974 PECOS PAC ID: 9830001650 Enrollment ID: O20120612000674 |
| Entity Name | Nes Tennessee, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437606605 PECOS PAC ID: 3678472040 Enrollment ID: O20161031002328 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Miles Wayne Ellis, MD 1705 Crest Dr, Columbus, GA 31906-3507 Ph: (706) 324-4065 | Dr Miles Wayne Ellis, MD 4401 River Chase Dr, Emergency Dept., Phenix City, AL 36867-7483 Ph: (334) 732-3000 |
Michael L Schreiber, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4401 Riverchase Dr, Phenix City, AL 36867 Phone: 334-732-3000 Fax: 334-732-3020 |