Dr Jerry H Ellis, OD is a medicare enrolled "Optometrist" provider in Cherokee Village, Arkansas. He went to University Of Houston - College Of Optometry and graduated in 1990 and has 36 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Progressive Eye Center Inc and his current practice location is
197 Hospital Drive, Suite A, Cherokee Village, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 257-2100.
Dr Jerry H Ellis is licensed to practice in Arkansas (license number 2408) 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 1083776611.
Healthcare Provider's Profile
| Full Name | Dr Jerry H Ellis |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 36 Years |
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| Location | 197 Hospital Drive, Cherokee Village, Arkansas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jerry H Ellis attended and graduated from University Of Houston - College Of Optometry in 1990
NPI Data:
- NPI Number: 1083776611
- Provider Enumeration Date: 12/13/2006
- Last Update Date: 12/07/2009
Medicare PECOS Information:
- PECOS PAC ID: 6800783523
- Enrollment ID: I20110405000864
Medical Identifiers
Medical identifiers for Dr Jerry H Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083776611 | NPI | - | NPPES |
| 128855722 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 2408 (Arkansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Progressive Eye Center Inc | 7810962438 | 2 |
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. Dr Jerry H Ellis allows following entities to bill medicare on his behalf.
| Provider Name | Progressive Eye Center Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1649397126
PECOS PAC ID: 7810962438
Enrollment ID: O20040827000675 |
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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. Dr Jerry H 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 |
|---|
Dr Jerry H Ellis, OD
197 Hospital Drive, Suite A,
Cherokee Village, AR 72529-7315
Ph: (870) 257-2100 | Dr Jerry H Ellis, OD
197 Hospital Drive, Suite A,
Cherokee Village, AR 72529-7315
Ph: (870) 257-2100 |
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