| Robert J Ellis, MD | |
|
3850 S National Ave, Suite 600, Springfield, MO 65807-5287 | |
| (417) 882-4880 | |
| (417) 882-7843 |
| Full Name | Robert J Ellis |
|---|---|
| Gender | Male |
| Speciality | Hematology/oncology |
| Experience | 36 Years |
| Location | 3850 S National Ave, Springfield, Missouri |
| 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 |
|---|---|---|---|
| 1720056823 | NPI | - | NPPES |
| 204988307 | Medicaid | MO | |
| 0628420001 | Other | MO | DMERC |
| 830006713 | Other | MO | RAILROAD MEDICARE |
| 129419 | Other | MO | ANTHEM BCBS |
| 3600111 | Other | MO | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RX0202X | Internal Medicine - Medical Oncology | R8N50 (Missouri) | Secondary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | R8N50 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Phoenix Home Care And Hospice | Springfield, MO | Hospice |
| Cox Medical Centers | Springfield, MO | Hospital |
| Mercy Hospital Springfield | Springfield, MO | Hospital |
| Cox Medical Center Branson | Branson, MO | Hospital |
| Mercy Hospital Lebanon | Lebanon, MO | Hospital |
| Lake Regional Health System | Osage beach, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Oncology Partners Pa | 0042569758 | 278 |
| Entity Name | American Oncology Partners Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265929723 PECOS PAC ID: 0042569758 Enrollment ID: O20191114000473 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J Ellis, MD Po Box 749495, Atlanta, GA 30374-9495 Ph: (239) 432-8331 | Robert J Ellis, MD 3850 S National Ave, Suite 600, Springfield, MO 65807-5287 Ph: (417) 882-4880 |
Mr. Sujan Poudel, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2600 | |
Dr. Mark H. Grimm, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 3231 S National Ave, Springfield, MO 65807 Phone: 417-888-5696 Fax: 417-888-6711 | |
Bradley D Wiley, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1001 E Primrose St, Springfield, MO 65807 Phone: 417-875-3000 Fax: 417-875-3051 | |
Walter S. Trombold, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 6044 S Overlook Trl, Springfield, MO 65810 Phone: 417-771-5778 | |
Ghulam Jeelani Siddiqui, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2115 S Fremont Ave, Suite 3300, Springfield, MO 65804 Phone: 417-820-5200 Fax: 417-820-5220 | |
Danny R Penick, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-0000 | |
Dr. Anne Marsh Egbert, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 4630 W Farm Road 82, Springfield, MO 65803 Phone: 417-522-5551 Fax: 417-722-0001 |