Mark Kenneth Ellis, MD - Medicare Emergency Medicine in New York, NY

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Mark Kenneth Ellis, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in New York, New York. His current practice location is 2 5th Ave Apt 2d, New York, New York. You can reach out to his office (for appointments etc.) via phone at (914) 393-2368.

Mark Kenneth Ellis is licensed to practice in Arizona (license number R72186) 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 1659682219.

Contact Information

Mark Kenneth Ellis, MD
2 5th Ave Apt 2d,
New York, NY 10011-8832
(914) 393-2368
Not Available

Map and Direction




Physician's Profile

Full NameMark Kenneth Ellis
GenderMale
SpecialityEmergency Medicine - Emergency Medical Services
Location2 5th Ave Apt 2d, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659682219
  • Provider Enumeration Date: 06/29/2010
  • Last Update Date: 06/02/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 1557503570
  • Enrollment ID: I20140310001982

Medical Identifiers

Medical identifiers for Mark Kenneth Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659682219NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services R72186 (Arizona)Primary

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 Kenneth Ellis allows following entities to bill medicare on his behalf.
Entity NameNes Medical Services Of New York Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215455191
PECOS PAC ID: 0840181392
Enrollment ID: O20040323001392
Entity NameWhite Plains Hospital Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003089491
PECOS PAC ID: 4981593092
Enrollment ID: O20040420001230

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 Kenneth 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 AddressPractice Location Address
Mark Kenneth Ellis, MD
2 5th Ave Apt 2d,
New York, NY 10011-8832

Ph: (914) 393-2368		Mark Kenneth Ellis, MD
2 5th Ave Apt 2d,
New York, NY 10011-8832

Ph: (914) 393-2368

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.