Jerome Keefer Ellis, MD is a
Pediatrics physician based in Lock Haven, Pennsylvania. Jerome Keefer Ellis is licensed to practice in Pennsylvania (license number MD069228L) and his current practice location is 24 Cree Dr, Lock Haven, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(570) 893-5000.
NPI number for Jerome Keefer Ellis is 1568423366 and his current mailing address is 24 Cree Dr, Lock Haven, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568423366.
Physician's Profile
Full Name | Jerome Keefer Ellis |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 24 Cree Dr, Lock Haven, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568423366
- Provider Enumeration Date: 03/31/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Jerome Keefer Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568423366 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | MD069228L (Pennsylvania) | Primary |
208000000X | Pediatrics | MD069228L (Pennsylvania) | Primary |
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. Jerome Keefer Ellis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jerome Keefer Ellis, MD 24 Cree Dr, Lock Haven, PA 17745-2639 Ph: (570) 893-5000 | Jerome Keefer Ellis, MD 24 Cree Dr, Lock Haven, PA 17745-2639 Ph: (570) 893-5000 |
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