Jacob Ellis Brown, is a
Anesthesiologist Assistant based in Lone Tree, Colorado. Jacob Ellis Brown is licensed to practice in Colorado (license number ANT.0000310) and his current practice location is
10101 Ridgegate Pkwy, Lone Tree, Colorado. He can be reached at his office (for appointments etc.) via phone at
(303) 783-4912.
NPI number for Jacob Ellis Brown is 1184515371 and his current mailing address is 719 Malone St, Houston, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184515371.
Provider's Profile
| Full Name | Jacob Ellis Brown |
|---|
| Gender | Male |
|---|
| Speciality | Anesthesiologist Assistant |
|---|
| Location | 10101 Ridgegate Pkwy, Lone Tree, Colorado |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184515371
- Provider Enumeration Date: 07/14/2025
- Last Update Date: 09/08/2025
Medical Identifiers
Medical identifiers for Jacob Ellis Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1184515371 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367H00000X | Anesthesiologist Assistant | ANT.0000310 (Colorado) | Primary |
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. Jacob Ellis Brown is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jacob Ellis Brown, 719 Malone St, Houston, TX 77007-5123 Ph: (832) 262-6408 | Jacob Ellis Brown, 10101 Ridgegate Pkwy, Lone Tree, CO 80124-5522 Ph: (303) 783-4912 |
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