| Robert Tyler Ellis, MD | |
|
497 Azalea Dr Ste 102, Oxford, MS 38655-7906 | |
| (662) 513-2000 | |
| Not Available |
| Full Name | Robert Tyler Ellis |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 8 Years |
| Location | 497 Azalea Dr Ste 102, Oxford, Mississippi |
| 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 |
|---|---|---|---|
| 1316467277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 29723 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Home Care And Hospice North Mississippi | Batesville, MS | Home health agency |
| Kindred At Home | Tupelo, MS | Home health agency |
| Baptist Memorial Hospital North Ms | Oxford, MS | Hospital |
| University Of Mississippi Medical Center- Grenada | Grenada, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oxford Orthopaedics And Sports Medicine Pllc | 8729085907 | 11 |
| Entity Name | Mississippi Sports Medicine & Orthopaedic Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568415560 PECOS PAC ID: 4981685310 Enrollment ID: O20040601000238 |
| Entity Name | Oxford Orthopaedics And Sports Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023042033 PECOS PAC ID: 8729085907 Enrollment ID: O20061031000565 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Tyler Ellis, MD 497 Azalea Dr Ste 102, Oxford, MS 38655-7906 Ph: (662) 513-2000 | Robert Tyler Ellis, MD 497 Azalea Dr Ste 102, Oxford, MS 38655-7906 Ph: (662) 513-2000 |
Wayne Terry Lamar, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2168 S Lamar Blvd, Oxford, MS 38655 Phone: 662-234-8432 Fax: 662-234-5267 | |
Allen Ryves Moore, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Baptist Memorial Cir Ste 330, Oxford, MS 38655 Phone: 662-767-4200 Fax: 662-767-4204 | |
Cooper Loomis Terry, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 497 Azalea Dr, Suite 102, Oxford, MS 38655 Phone: 662-513-2000 Fax: 662-513-2001 | |
Dr. William Clayton Hopper Jr., M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 21015 Will's Trace, Oxford, MS 38655 Phone: 901-239-4864 | |
Dr. Elvis Jeff Justis Jr., MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 710 Longmeadow Drive, Oxford, MS 38655 Phone: 662-236-2940 Fax: 662-236-2940 | |
Dr. Kurre Thomas Luber, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 497 Azalea Dr Ste 102, Oxford, MS 38655 Phone: 662-513-2000 Fax: 662-513-2001 |