| Julius Rodney Ellis, MD FACOG | |
|
1509 State St, La Porte, IN 46350-3115 | |
| (219) 362-4690 | |
| (219) 362-4692 |
| Full Name | Julius Rodney Ellis |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 33 Years |
| Location | 1509 State St, La Porte, Indiana |
| 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 |
|---|---|---|---|
| 1194734145 | NPI | - | NPPES |
| 000000522304 | Other | IN | ANTHEM, BCBS |
| 200286860 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 01052711A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| La Porte Hospital | La porte, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| La Porte Clinic Company Llc | 0446558357 | 59 |
| Entity Name | La Porte Clinic Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568829224 PECOS PAC ID: 0446558357 Enrollment ID: O20160408001751 |
| Mailing Address | Practice Location Address |
|---|---|
| Julius Rodney Ellis, MD FACOG 1509 State St, La Porte, IN 46350-3115 Ph: (219) 362-4690 | Julius Rodney Ellis, MD FACOG 1509 State St, La Porte, IN 46350-3115 Ph: (219) 362-4690 |
Dr. Lyjia O'layinka Strachan, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1509 State St, La Porte, IN 46350 Phone: 219-326-5700 Fax: 219-326-8131 | |
Dr. Michael D Allen, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1509 State St, La Porte, IN 46350 Phone: 219-326-5700 | |
Cynthia M Phelan, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1300 State St, Suite 2e, La Porte, IN 46350 Phone: 219-326-5700 Fax: 219-326-8131 | |
Aileen G Stiller, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1509 State St, La Porte, IN 46350 Phone: 219-326-5700 Fax: 219-326-8131 | |
John Thomas Taylor, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1331 State St, La Porte, IN 46350 Phone: 219-326-5700 Fax: 219-326-8131 |