Mark I Ellen, MD - Medicare Physical Medicine & Rehabilitation in Atlanta, GA

Mark I Ellen, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Atlanta, Georgia. His current practice location is 2108 Alexander Cir Ne, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (214) 952-3501.

Mark I Ellen is licensed to practice in Florida (license number ME145025) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720181951.

Contact Information

Mark I Ellen, MD
2108 Alexander Cir Ne,
Atlanta, GA 30326-1246
(214) 952-3501
Not Available

Map and Direction




Physician's Profile

Full NameMark I Ellen
GenderMale
SpecialityPhysical Medicine & Rehabilitation
Location2108 Alexander Cir Ne, Atlanta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720181951
  • Provider Enumeration Date: 09/06/2006
  • Last Update Date: 05/18/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8022025683
  • Enrollment ID: I20171209000002

Medical Identifiers

Medical identifiers for Mark I Ellen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720181951NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine 25MA06361300 (New Jersey)Secondary
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine MD051555L (Pennsylvania)Secondary
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine 2005-01826 (North Carolina)Secondary
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine G71376 (California)Secondary
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine ME145025 (Florida)Secondary
208100000XPhysical Medicine & Rehabilitation ME145025 (Florida)Primary
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine 50578 (Georgia)Secondary

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. Mark I Ellen allows following entities to bill medicare on his behalf.
Entity NameJohns Hopkins University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922008549
PECOS PAC ID: 8921903147
Enrollment ID: O20031215000719
Entity NameJohns Hopkins University
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1275180424
PECOS PAC ID: 8921903147
Enrollment ID: O20191220001328

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. Mark I Ellen 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 AddressPractice Location Address
Mark I Ellen, MD
10435 Se 170th Pl,
Summerfield, FL 34491-8998

Ph: (352) 630-6250
Mark I Ellen, MD
2108 Alexander Cir Ne,
Atlanta, GA 30326-1246

Ph: (214) 952-3501

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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