Kenneth R Ellis, MD is a medicare enrolled "Ophthalmology" physician in Anacortes, Washington. He went to University Of California, Irvine, California College Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Island Eye Physicians And Surgeons and his current practice location is
1213 24th St, Suite 300, Anacortes, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 293-2020.
Kenneth R Ellis is licensed to practice in Washington (license number MD00041277) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215981022.
Physician's Profile
| Full Name | Kenneth R Ellis |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 26 Years |
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| Location | 1213 24th St, Anacortes, Washington |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kenneth R Ellis attended and graduated from University Of California, Irvine, California College Of Medicine in 1998
NPI Data:
- NPI Number: 1215981022
- Provider Enumeration Date: 05/19/2006
- Last Update Date: 07/30/2008
Medicare PECOS Information:
- PECOS PAC ID: 3375687023
- Enrollment ID: I20101012000733
Medical Identifiers
Medical identifiers for Kenneth R Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215981022 | NPI | - | NPPES |
| 8351454 | Medicaid | WA | |
| 0163027 | Other | | L AND I |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | MD00041277 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Island Eye Physicians And Surgeons | 9537056569 | 2 |
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. Kenneth R Ellis allows following entities to bill medicare on his behalf.
| Entity Name | Island Eye Physicians & Surgeons |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306893755
PECOS PAC ID: 9537056569
Enrollment ID: O20040303000555 |
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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. Kenneth R 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 Address | Practice Location Address |
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Kenneth R Ellis, MD
1213 24th St, Suite 300,
Anacortes, WA 98221-2592
Ph: (360) 293-2020 | Kenneth R Ellis, MD
1213 24th St, Suite 300,
Anacortes, WA 98221-2592
Ph: (360) 293-2020 |
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