| Ira Keith Ellis, MD | |
|
2084 W Main St, Milan, TN 38358-3515 | |
| (615) 673-6737 | |
| Not Available |
| Full Name | Ira Keith Ellis |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 2084 W Main St, Milan, Tennessee |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922005388 | NPI | - | NPPES |
| 34018 | Other | TN | TLC |
| 626001636 | Other | TN | UNITED HEALTHCARE |
| 4101718 | Other | TN | BLUE CROSS BLUE SHIELD |
| 5657408 | Other | TN | CIGNA |
| 3823013 | Medicaid | TN | |
| 626001636 | Other | TN | USA MANAGED CARE |
| P00277818 | Other | TN | RAILROAD MEDICARE |
| 4124210 | Other | BCBS | |
| 626001636 | Other | TN | HEALTH PARTNERS |
| 166981 | Other | TN | UNISON |
| 3895527 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 38294 (Tennessee) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | 38294 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jackson-madison County General Hospital | Jackson, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Impact Healthcare, Pllc | 5991065427 | 8 |
| Entity Name | Impact Healthcare, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487185153 PECOS PAC ID: 5991065427 Enrollment ID: O20180201001424 |
| Entity Name | Wt University Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023572344 PECOS PAC ID: 3779824719 Enrollment ID: O20190401001719 |
| Mailing Address | Practice Location Address |
|---|---|
| Ira Keith Ellis, MD 294 Summar Dr, Dept 289, Jackson, TN 38301-3915 Ph: (731) 423-1932 | Ira Keith Ellis, MD 2084 W Main St, Milan, TN 38358-3515 Ph: (615) 673-6737 |
Dr. Jerry Paul Wilson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6041 Telecom Dr, Milan, TN 38358 Phone: 731-686-1505 Fax: 731-686-8174 | |
Ronald Guy Twilla, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4039 Highland St, Suite 5, Milan, TN 38358 Phone: 731-686-1516 Fax: 731-686-1518 | |
Seth Patrick Hayes, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4039 Highland St, Milan, TN 38358 Phone: 731-686-1591 | |
Dr. Patrick N Andre, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6041 Telecom Dr, Milan, TN 38358 Phone: 731-686-1505 Fax: 731-686-8174 | |
Dr. Wade Park Reeves, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6041 Telecom Dr, Milan, TN 38358 Phone: 731-686-1505 Fax: 731-686-8174 | |
Dr. Stephen Reid Snell, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4039 Highlan St, Milan, TN 38358 Phone: 731-422-0213 Fax: 731-868-4800 | |
Mr. Michael A Mcadoo, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 6041 Telecom Dr, Milan, TN 38358 Phone: 731-686-1505 Fax: 731-686-8174 |