Scott Ryan Ellis, MD in Elmhurst, NY

Scott Ryan Ellis, MD is a medicare enrolled "Surgery" physician in Elmhurst, New York. His current practice location is 7901 Broadway, Elmhurst, New York. You can reach out to his office (for appointments etc.) via phone at (917) 747-8487.

Scott Ryan Ellis is licensed to practice in New York (license number 324008) 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 1699138214.

Contact Information

	Scott Ryan Ellis, MD
	7901 Broadway, Elmhurst, NY 11373-1329
	(917) 747-8487
	Not Available

Map and Direction

Physician's Profile

Full Name	Scott Ryan Ellis
Gender	Male
Speciality	Surgery
Location	7901 Broadway, Elmhurst, 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: 1699138214
Provider Enumeration Date: 03/31/2016
Last Update Date: 06/11/2025

Medicare PECOS Information:

PECOS PAC ID: 8820334030
Enrollment ID: I20240814002645

Medical Identifiers

Medical identifiers for Scott Ryan Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699138214	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	324008 (New York)	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. Scott Ryan Ellis allows following entities to bill medicare on his behalf.

Entity Name	Icahn School Of Medicine At Mount Sinai
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609120674 PECOS PAC ID: 8224282926 Enrollment ID: O20130205000439

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. Scott Ryan 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
Scott Ryan Ellis, MD 7901 Broadway, Elmhurst, NY 11373-1329 Ph: () -	Scott Ryan Ellis, MD 7901 Broadway, Elmhurst, NY 11373-1329 Ph: (917) 747-8487

Reviews and Comments

Surgery Doctors in Elmhurst, NY

Franklin Antonio Caldera, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 9407 60th Ave # D3, Elmhurst, NY 11373 Phone: 718-271-6106 Fax: 718-271-6125
Han-yu Shen, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 7901 Broadway, Room A1-9, Elmhurst, NY 11373 Phone: 718-334-4915 Fax: 718-334-4815
Leon K. Eisen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7901 Broadway, Room A1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815
Shalini Arora, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 79-01 Broadway, Elmhurst, NY 11373 Phone: 718-334-2479 Fax: 718-334-2478
Lorienne Maria Beriguete, PA-C Surgery Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Elmhurst, NY 11373 Phone: 718-334-4000
George A. Agriantonis, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7901 Broadway, Room A1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815
Dr. Jean-paul Leva, D.O. Surgery Medicare: Not Enrolled in Medicare Practice Location: 9406 59th Ave # E9, Elmhurst, NY 11373 Phone: 718-699-9737

Scott Ryan Ellis, MD - Medicare Surgery in Elmhurst, NY