Richard R Ellis, MD in San Pedro, CA

Richard R Ellis, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in San Pedro, California. He graduated from medical school in 1971 and has 55 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Affiliated Pathologists Medical Group, Inc. and his current practice location is 1300 W. 7th Street, San Pedro, California. You can reach out to his office (for appointments etc.) via phone at (310) 514-5250.

Richard R Ellis is licensed to practice in California (license number G23337) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952354607.

Contact Information

	Richard R Ellis, MD
	1300 W. 7th Street, San Pedro, CA 90732
	(310) 514-5250
	(310) 514-5445

Map and Direction

Physician's Profile

Full Name	Richard R Ellis
Gender	Male
Speciality	Pathology
Experience	55 Years
Location	1300 W. 7th Street, San Pedro, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Richard R Ellis graduated from medical school in 1971

NPI Data:

NPI Number: 1952354607
Provider Enumeration Date: 05/17/2006
Last Update Date: 01/27/2016

Medicare PECOS Information:

PECOS PAC ID: 4880662097
Enrollment ID: I20111213000171

Medical Identifiers

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

Identifier	Type	State	Issuer
1952354607	NPI	-	NPPES
00G233370	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	G23337 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Affiliated Pathologists Medical Group, Inc.	7315840535	50

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 R Ellis allows following entities to bill medicare on his behalf.

Entity Name	Affiliated Pathologists Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730119553 PECOS PAC ID: 7315840535 Enrollment ID: O20040127000838

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 R 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 R Ellis, MD 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 Ph: (310) 225-3244	Richard R Ellis, MD 1300 W. 7th Street, San Pedro, CA 90732 Ph: (310) 514-5250

Richard R Ellis, MD - Medicare Pathology in San Pedro, CA