| Dr Tiffany M Ellis, MD | |
|
1350 Hickory St, Melbourne, FL 32901-3224 | |
| (321) 434-4225 | |
| (321) 434-4247 |
| Full Name | Dr Tiffany M Ellis |
|---|---|
| Gender | Female |
| Speciality | Critical Care (intensivists) |
| Experience | 26 Years |
| Location | 1350 Hickory St, Melbourne, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760520035 | NPI | - | NPPES |
| 113907000 | Medicaid | FL | |
| WP953 | Other | FL | HFMG |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | ME115716 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holmes Regional Medical Center | Melbourne, FL | Hospital |
| Hca Florida South Tampa Hospital | Tampa, FL | Hospital |
| Viera Hospital | Melbourne, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Health First Medical Group, Llc | 7416100672 | 701 |
| Anesthesia Dynamics Llc | 3779832530 | 883 |
| Entity Name | Sarasota Anesthesia Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689857393 PECOS PAC ID: 4284708207 Enrollment ID: O20080808000213 |
| Entity Name | Fleming Island Anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487945895 PECOS PAC ID: 6002084860 Enrollment ID: O20110721000345 |
| Entity Name | Orange City Anesthesia Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972882314 PECOS PAC ID: 2365617016 Enrollment ID: O20111208000641 |
| Entity Name | Health First Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135 |
| Entity Name | Anesthesia Dynamics LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190820001117 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tiffany M Ellis, MD 3300 S Fiske Blvd, Rockledge, FL 32955-4306 Ph: (321) 434-4225 | Dr Tiffany M Ellis, MD 1350 Hickory St, Melbourne, FL 32901-3224 Ph: (321) 434-4225 |
Dr. Nathan D Allison, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 8725 N Wickham Rd, Suite 302, Melbourne, FL 32940 Phone: 321-434-9230 Fax: 321-434-9231 |
Tomor Sedaliu, Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 |
Dr. Olga Dorjima Emgushov, MD,MPH Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 Fax: 321-434-1775 |
Taha Dias, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 1270 N Wickham Rd Ste 9, Melbourne, FL 32935 Phone: 321-567-2211 |
Dr. Audrius J Bredikis, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr Ste 2e, Melbourne, FL 32901 Phone: 321-361-5564 Fax: 321-956-2542 |
Dr. Sumit Sureshkumar Patel, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 E Hibiscus Blvd, Melbourne, FL 32901 Phone: 978-761-9784 |
Craig J Badolato, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1430 Pine St, Melbourne, FL 32901 Phone: 321-674-5050 Fax: 321-952-6296 |