| Patrick Christopher Ellis, MD | |
|
584 Hospital Dr Ne, Bolivia, NC 28422-0019 | |
| (910) 662-9500 | |
| (910) 668-9501 |
| Full Name | Patrick Christopher Ellis |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 24 Years |
| Location | 584 Hospital Dr Ne, Bolivia, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861401606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 2007-01336 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| New Hanover Regional Medical Center | Wilmington, NC | Hospital |
| Novant Health Brunswick Medical Center | Supply, NC | Hospital |
| J Arthur Dosher Memorial Hospital | Southport, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Health Medical Group Coastal Region Llc | 2860809936 | 462 |
| Novant Health New Hanover Regional Medical Center Llc | 7113330168 | 167 |
| Brunswick Community Hospital Llc | 9335150895 | 30 |
| Entity Name | Brunswick Community Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669725198 PECOS PAC ID: 9335150895 Enrollment ID: O20130903000403 |
| Entity Name | Novant Health New Hanover Regional Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750978839 PECOS PAC ID: 7113330168 Enrollment ID: O20210112000621 |
| Entity Name | Novant Health Medical Group Coastal Region Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649865791 PECOS PAC ID: 2860809936 Enrollment ID: O20210408000285 |
| Entity Name | Novant Health Ballantyne Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760190607 PECOS PAC ID: 4880065143 Enrollment ID: O20230518003163 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Christopher Ellis, MD Po Box 936857, Atlanta, GA 31193-6857 Ph: (910) 662-9500 | Patrick Christopher Ellis, MD 584 Hospital Dr Ne, Bolivia, NC 28422-0019 Ph: (910) 662-9500 |
Erin Nicole Wallace, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 257 Hospital Dr Ne Ste 101, Bolivia, NC 28422 Phone: 910-721-4100 Fax: 910-721-4101 | |
Dr. Timothy Michael Foeller, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-721-2070 Fax: 910-721-2074 | |
William Joseph Faircloth, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-755-1004 Fax: 910-755-1474 | |
Alan Joseph Bloszko Jr, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-721-2070 Fax: 910-721-2074 | |
Dr. Roberta Samelson Bracken, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 25 Courthouse Dr Ne, Bolivia, NC 28422 Phone: 910-253-2250 Fax: 910-253-2370 | |
Lawrence James Mason, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-721-2070 Fax: 910-755-1474 | |
David John Koenig, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-721-2070 Fax: 910-721-2074 |