| Renee Ann Ellis, MD | |
|
1902 Windsor Pl Ste 102, Fort Worth, TX 76110-1866 | |
| (682) 207-1700 | |
| (682) 250-5246 |
| Full Name | Renee Ann Ellis |
|---|---|
| Gender | Female |
| Speciality | Nephrology |
| Experience | 27 Years |
| Location | 1902 Windsor Pl Ste 102, Fort Worth, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134391733 | NPI | - | NPPES |
| 48355 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 31193 (South Carolina) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | W0564 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fresenius Medical Care Irmo | Irmo, SC | Dialysis facility |
| Lexington Medical Center | West columbia, SC | Hospital |
| Prisma Health Richland Hospital | Columbia, SC | Hospital |
| Providence Health | Columbia, SC | Hospital |
| Prisma Health Baptist | Columbia, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Columbia Nephrology Associates Pa | 9537128533 | 34 |
| Entity Name | Columbia Nephrology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407821721 PECOS PAC ID: 9537128533 Enrollment ID: O20041006000242 |
| Mailing Address | Practice Location Address |
|---|---|
| Renee Ann Ellis, MD 1902 Windsor Pl Ste 102, Fort Worth, TX 76110-1866 Ph: (682) 207-1700 | Renee Ann Ellis, MD 1902 Windsor Pl Ste 102, Fort Worth, TX 76110-1866 Ph: (682) 207-1700 |
Gayane Tumyan, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 600 S Main St, Fort Worth, TX 76104 Phone: 817-882-2420 | |
Charles A Carlton, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1622 8th Avenue, Suite 110, Fort Worth, TX 76104 Phone: 817-926-2561 Fax: 817-921-3708 | |
Paul J Garcia, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5701 Bryant Irvin Rd, Suite 302, Fort Worth, TX 76132 Phone: 817-294-9000 Fax: 817-294-9010 | |
Stevan A Gonzalez, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1250 8th Ave, Suite 515, Fort Worth, TX 76104 Phone: 817-922-4675 Fax: 817-922-4645 | |
Christian Nguyen, DO Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1300 W Terrell Ave Ste K230, Fort Worth, TX 76104 Phone: 817-250-4906 Fax: 817-250-1815 | |
Elie B Choufani, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 601 W Terrell Ave, Fort Worth, TX 76104 Phone: 817-852-8305 | |
Syed Hadi Jafri, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1300 W Terrell Ave Fl 2, Fort Worth, TX 76104 Phone: 817-820-4906 Fax: 817-820-4815 |