Ian Apollos Justl Ellis, - Medicare Emergency Medicine in Fort Worth, TX

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Ian Apollos Justl Ellis, is a medicare enrolled "Emergency Medicine" physician in Fort Worth, Texas. His current practice location is 1500 S Main St, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 879-6799.

Ian Apollos Justl Ellis is licensed to practice in Texas (license number Q8730) 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 1073856183.

Contact Information

Ian Apollos Justl Ellis,
1500 S Main St,
Fort Worth, TX 76104-4917
(817) 879-6799
Not Available

Map and Direction




Physician's Profile

Full NameIan Apollos Justl Ellis
GenderMale
SpecialityEmergency Medicine
Location1500 S Main St, Fort Worth, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073856183
  • Provider Enumeration Date: 03/27/2013
  • Last Update Date: 08/03/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3779879820
  • Enrollment ID: I20160915002157

Medical Identifiers

Medical identifiers for Ian Apollos Justl Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073856183NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine Q8730 (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ian Apollos Justl Ellis allows following entities to bill medicare on his behalf.
Entity NameQuestcare Medical Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912059247
PECOS PAC ID: 6204739402
Enrollment ID: O20040127000697
Entity NameAcs Primary Care Physicians Southwest Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538101019
PECOS PAC ID: 1850204363
Enrollment ID: O20041206000027
Entity NameIntegrative Emergency Services Physician Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285922542
PECOS PAC ID: 0749447936
Enrollment ID: O20120130000932

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. Ian Apollos Justl Ellis 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 AddressPractice Location Address
Ian Apollos Justl Ellis,
1500 S Main St,
Fort Worth, TX 76104-4917

Ph: (817) 879-6799		Ian Apollos Justl Ellis,
1500 S Main St,
Fort Worth, TX 76104-4917

Ph: (817) 879-6799

Reviews and Comments


Emergency Medicine Doctors in Fort Worth, TX

Anna Burns Schroeder, MD
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Don Stewart Harper, M.D.
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Dr. Britton Michael Devillier, M.D., M.P.H.
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Lacey A Mcdaniel, PA-C
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Phone: 817-346-1925    Fax: 817-292-7237
Dr. Rafael Andres Raya, MD
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Nathaniel Graham Lane, M.D.
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Practice Location: 6451 Brentwood Stair Rd Ste 200, Fort Worth, TX 76112
Phone: 720-201-9397    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.