Elyse A Shaw Ellis, MD | |
1465 S Grand Blvd, Saint Louis, MO 63104-1003 | |
(314) 577-5643 | |
(314) 268-4112 |
Full Name | Elyse A Shaw Ellis |
---|---|
Gender | Female |
Speciality | Hospitalist |
Location | 1465 S Grand Blvd, Saint Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255744785 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01078371 (Indiana) | Secondary |
208000000X | Pediatrics | 2018006628 (Missouri) | Secondary |
208M00000X | Hospitalist | 2018006628 (Missouri) | Primary |
Entity Name | Indiana University Health Care Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
Mailing Address | Practice Location Address |
---|---|
Elyse A Shaw Ellis, MD 1465 S Grand Blvd, Saint Louis, MO 63104-1003 Ph: (314) 577-5643 | Elyse A Shaw Ellis, MD 1465 S Grand Blvd, Saint Louis, MO 63104-1003 Ph: (314) 577-5643 |
Dr. Robert Shi-heng Young, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 | |
Dr. Madeline Rose Spencer, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1 Childrens Pl, Div Ped Hospitalist Med, Saint Louis, MO 63110 Phone: 314-454-2076 Fax: 314-747-8953 | |
Dr. James Matthew Freer, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 | |
Dr. Rachel Hannah Bardowell, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 | |
Jabon L Ellis, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1201 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-257-8222 Fax: 915-742-2653 | |
Dr. Hayden Elise Rotramel, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1201 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-257-8000 Fax: 314-977-1664 | |
Dr. Patrick Hodge White, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 |