Ellex Anthony Phillips, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Lafayette, Indiana. His current practice location is
5177 Mccarty Ln, Lafayette, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 838-7101.
Ellex Anthony Phillips is licensed to practice in Indiana (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093457186.
Physician's Profile
Full Name | Ellex Anthony Phillips |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 5177 Mccarty Ln, Lafayette, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1093457186
- Provider Enumeration Date: 04/10/2022
- Last Update Date: 08/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 8729467790
- Enrollment ID: I20220622000392
Medical Identifiers
Medical identifiers for Ellex Anthony Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093457186 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 01096270A (Indiana) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (Indiana) | 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. Ellex Anthony Phillips 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 |
Ellex Anthony Phillips, MD 5177 Mccarty Ln, Lafayette, IN 47905-8764 Ph: () - | Ellex Anthony Phillips, MD 5177 Mccarty Ln, Lafayette, IN 47905-8764 Ph: (765) 838-7101 |
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