Richard Gregory Ellis, MD in New York, NY - Medicare Student in an Organized Health Care Education/Training Program

Richard Gregory Ellis, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in New York, New York. His current practice location is Nyu Langone Medical Center, 550 1st Ave, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 263-5506.

Richard Gregory Ellis is licensed to practice in * (Not Available) (license number ) 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 1578095980.

Contact Information

	Richard Gregory Ellis, MD
	Nyu Langone Medical Center, 550 1st Ave, New York, NY 10016-6402
	(212) 263-5506
	Not Available

Map and Direction

Physician's Profile

Full Name	Richard Gregory Ellis
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	Nyu Langone Medical Center, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578095980
Provider Enumeration Date: 04/03/2017
Last Update Date: 06/28/2018

Medicare PECOS Information:

PECOS PAC ID: 1052683547
Enrollment ID: I20241031002166

Medical Identifiers

Medical identifiers for Richard Gregory Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578095980	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	272709 (Massachusetts)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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. Richard Gregory Ellis allows following entities to bill medicare on his behalf.

Entity Name	Physician Affiliate Group Of New York Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013375526 PECOS PAC ID: 4688098833 Enrollment ID: O20200721001270

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. Richard Gregory 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 Address	Practice Location Address
Richard Gregory Ellis, MD 550 1st Ave, New York, NY 10016-6402 Ph: (617) 447-4907	Richard Gregory Ellis, MD Nyu Langone Medical Center, 550 1st Ave, New York, NY 10016-6402 Ph: (212) 263-5506

Richard Gregory Ellis, MD - Medicare Student in an Organized Health Care Education/Training Program in New York, NY