| Mr Michael C Ellis, MD | |
|
3024 Business Park Cir, Goodlettsville, TN 37072-3132 | |
| (615) 851-6033 | |
| (615) 851-2018 |
| Full Name | Mr Michael C Ellis |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 3024 Business Park Cir, Goodlettsville, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033158191 | NPI | - | NPPES |
| 300108651 | Other | TN | RAILROAD MEDICARE |
| 4200345 | Other | TN | BCBS TN |
| 1509264 | Other | TN | MEDICAID - MTI |
| 64918170 | Medicaid | KY | |
| 3135920 | Other | TN | BCBS |
| 1509264 | Medicaid | TN | |
| 3035616 | Medicaid | TN | |
| 3031462 | Other | TN | BCBS |
| 4291338 | Other | TN | BCBS - MTI |
| 64918170 | Other | TN | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD11612 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael C Ellis, MD 3024 Business Park Cir, Goodlettsville, TN 37072-3132 Ph: (615) 851-6033 | Mr Michael C Ellis, MD 3024 Business Park Cir, Goodlettsville, TN 37072-3132 Ph: (615) 851-6033 |
Mr. Marc G Soble, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 | |
Melinda Rixey Sava, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 | |
Mr. Lawrence D Lubow, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 | |
Dr. John J Nisbet, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-234-1502 | |
Dr. Jonathan Paul Gordon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 | |
Dr. Matthew Renaud Bernhard, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-851-6033 Fax: 615-851-2018 |