Dr Ellis John Civello Jr, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Center Point, Texas. He went to University Of Texas Medical School At San Antonio and graduated in 1981 and has 45 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Andala Medical Texas Pa and his current practice location is
230 Mesa Verde Dr E, Center Point, Texas. You can reach out to his office (for appointments etc.) via phone at
(830) 460-6655.
Dr Ellis John Civello Jr is licensed to practice in Texas (license number G7046) 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 1063507432.
Physician's Profile
| Full Name | Dr Ellis John Civello Jr |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 45 Years |
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| Location | 230 Mesa Verde Dr E, Center Point, Texas |
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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 Ellis John Civello Jr attended and graduated from University Of Texas Medical School At San Antonio in 1981
NPI Data:
- NPI Number: 1063507432
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 12/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 3870554116
- Enrollment ID: I20041020001071
Medical Identifiers
Medical identifiers for Dr Ellis John Civello Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063507432 | NPI | - | NPPES |
| 139933924 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | G7046 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Andala Medical Texas Pa | 7416330436 | 8 |
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 Ellis John Civello Jr 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 Ellis John Civello Jr, MD
230 Mesa Verde Dr E,
Center Point, TX 78010-3548
Ph: (830) 634-2212 | Dr Ellis John Civello Jr, MD
230 Mesa Verde Dr E,
Center Point, TX 78010-3548
Ph: (830) 460-6655 |
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