| Jabon L Ellis, DO | |
|
1201 S Grand Blvd, Saint Louis, MO 63104-1016 | |
| (314) 257-8222 | |
| (915) 742-2653 |
| Full Name | Jabon L Ellis |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 13 Years |
| Location | 1201 S Grand Blvd, Saint Louis, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023371333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 2020016505 (Missouri) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Barnes-jewish St Peters Hospital | Saint peters, MO | Hospital |
| Missouri Baptist Medical Center | Town and country, MO | Hospital |
| Barnes Jewish Hospital | Saint louis, MO | Hospital |
| Mercy Hospital St Louis | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ste Genevieve County Memorial Hospital | 3274432802 | 73 |
| Impact Physician Group Missouri Llc | 4082958574 | 16 |
| Entity Name | Ste Genevieve County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073587655 PECOS PAC ID: 3274432802 Enrollment ID: O20040312000516 |
| Entity Name | Cox-monett Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669687125 PECOS PAC ID: 0345236667 Enrollment ID: O20040521000080 |
| Entity Name | Lester E Cox Medical Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902969272 PECOS PAC ID: 5799787784 Enrollment ID: O20070215000622 |
| Entity Name | St Anthonys Physician Organization Hospitalist Services Lc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407216336 PECOS PAC ID: 5092980656 Enrollment ID: O20111208000771 |
| Entity Name | Impact Physician Group Missouri Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962971531 PECOS PAC ID: 4082958574 Enrollment ID: O20181211001514 |
| Entity Name | In Charge Medical Professionals, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124426606 PECOS PAC ID: 9436474178 Enrollment ID: O20210603002170 |
| Entity Name | Ssm Health Care Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
| Mailing Address | Practice Location Address |
|---|---|
| Jabon L Ellis, DO 1008 S Spring Ave, Saint Louis, MO 63110-2520 Ph: (314) 257-8222 | Jabon L Ellis, DO 1201 S Grand Blvd, Saint Louis, MO 63104-1016 Ph: (314) 257-8222 |
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 | |
Amanda Ramnot, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 1201 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-257-8000 Fax: 314-977-1664 | |
Dr. Hayden Elise Rotramel, MD Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 1201 S Grand Blvd, Saint Louis, MO 63104 Phone: 314-257-8000 Fax: 314-977-1664 |