| Dr Glenn Thomas Ellis, PHD | |
|
815 2nd Ave No, Columbus, MS 39701 | |
| (662) 327-7388 | |
| (662) 329-1177 |
| Full Name | Dr Glenn Thomas Ellis |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 56 Years |
| Location | 815 2nd Ave No, Columbus, 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 |
|---|---|---|---|
| 1184712820 | NPI | - | NPPES |
| 00115223 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 105 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Right Track Medical Group, Inc | 8729403415 | 29 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Glenn Thomas Ellis, PHD 815 2nd Ave North, Columbus, MS 39701 Ph: (662) 327-7388 | Dr Glenn Thomas Ellis, PHD 815 2nd Ave No, Columbus, MS 39701 Ph: (662) 327-7388 |
Kristen L Campbell, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 105 5th St N, Suite 304, Columbus, MS 39701 Phone: 662-549-7378 | |
Ronak Parhi, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 470 Wilkins Wise Rd, Columbus, MS 39705 Phone: 662-570-1109 | |
Dr. Rachel Baden Sherrill, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 815 2nd Ave N, Columbus, MS 39701 Phone: 662-370-1082 |