Mary Jane Ellison, MD - Radiology in Philadelphia, PA

Mary Jane Ellison, MD is a Radiology - Diagnostic Radiology physician based in Philadelphia, Pennsylvania. Mary Jane Ellison is licensed to practice in Pennsylvania (license number MD031521E) and her current practice location is 7600 Central Ave, Radiology Department, Philadelphia, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at (215) 728-2162.

NPI number for Mary Jane Ellison is 1255378667 and her current mailing address is 1001 Briggs Rd, Suite 210, Mount Laurel, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255378667.

Contact Information

Mary Jane Ellison, MD
7600 Central Ave, Radiology Department,
Philadelphia, PA 19111-2442
(215) 728-2162
(215) 728-4883

Map and Direction




Physician's Profile

Full NameMary Jane Ellison
GenderFemale
SpecialityRadiology - Diagnostic Radiology
Location7600 Central Ave, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255378667
  • Provider Enumeration Date: 06/02/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mary Jane Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255378667NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology MD031521E (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. Mary Jane Ellison 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 AddressPractice Location Address
Mary Jane Ellison, MD
1001 Briggs Rd, Suite 210,
Mount Laurel, NJ 08054-4100

Ph: (856) 231-4774
Mary Jane Ellison, MD
7600 Central Ave, Radiology Department,
Philadelphia, PA 19111-2442

Ph: (215) 728-2162

Reviews and Comments


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