Jack Ellis I, PA-C - Medicare Physician Assistant in Powell, OH

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Jack Ellis I, PA-C is a medicare enrolled "Physician Assistant" in Powell, Ohio. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Ohiohealth Corporation and his current practice location is 4141 N Hampton Dr Ste 200, Powell, Ohio. You can reach out to his office (for appointments etc.) via phone at (614) 764-0200.

Jack Ellis I is licensed to practice in Ohio (license number 50.007768RX) 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 1346962982.

Contact Information

Jack Ellis I, PA-C
4141 N Hampton Dr Ste 200,
Powell, OH 43065-7062
(614) 764-0200
Not Available

Map and Direction




Provider's Profile

Full NameJack Ellis I
GenderMale
SpecialityPhysician Assistant
Experience4 Years
Location4141 N Hampton Dr Ste 200, Powell, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jack Ellis I graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1346962982
  • Provider Enumeration Date: 09/12/2022
  • Last Update Date: 11/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2264818855
  • Enrollment ID: I20221005001972

Medical Identifiers

Medical identifiers for Jack Ellis I such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346962982NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 50.007768RX (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Dublin Methodist HospitalDublin, OHHospital
Grant Medical CenterColumbus, OHHospital
Grady Memorial HospitalDelaware, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ohiohealth Corporation63057584262295

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. Jack Ellis I allows following entities to bill medicare on his behalf.
Entity NameOhiohealth Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578545273
PECOS PAC ID: 6305758426
Enrollment ID: O20031105000532
Entity NameOhiohealth Urgent Care LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811207160
PECOS PAC ID: 3476733700
Enrollment ID: O20110203000715

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. Jack Ellis I 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 AddressPractice Location Address
Jack Ellis I, PA-C
Po Box 7527,
Dublin, OH 43017-0727

Ph: Not Available		Jack Ellis I, PA-C
4141 N Hampton Dr Ste 200,
Powell, OH 43065-7062

Ph: (614) 764-0200

Reviews and Comments


Physician Assistant Nurses in Powell, OH

Kimberly Smith,
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Practice Location: 120 E Olentangy St, Powell, OH 43065
Phone: 614-898-1211    Fax: 614-961-1096
Ashley Suffoletto,
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Gabriela Lowe,
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Phone: 614-800-2721    
Desiree Nichole Hauenstein, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 10401 Sawmill Pkwy, Powell, OH 43065
Phone: 614-685-2805    Fax: 614-293-1957

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.