Dr Annisha Ellis, MD - Medicare Pediatrics in Austell, GA

Dr Annisha Ellis, MD is a medicare enrolled "Pediatrics" physician in Austell, Georgia. Her current practice location is 1810 Mulkey Rd, Suite 201, Austell, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 819-9262.

Dr Annisha Ellis is licensed to practice in Georgia (license number 053849) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1346230836.

Contact Information

Dr Annisha Ellis, MD
1810 Mulkey Rd, Suite 201,
Austell, GA 30106-1151
(770) 819-9262
(678) 945-1295



Physician's Profile

Full NameDr Annisha Ellis
GenderFemale
SpecialityPediatrics
Location1810 Mulkey Rd, Austell, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346230836
  • Provider Enumeration Date: 10/26/2005
  • Last Update Date: 12/07/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 5395645410
  • Enrollment ID: I20040113000546

Medical Identifiers

Medical identifiers for Dr Annisha Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346230836NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 053849 (Georgia)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. Dr Annisha Ellis allows following entities to bill medicare on her behalf.
Entity NameWellstar Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374

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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 Annisha 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 AddressPractice Location Address
Dr Annisha Ellis, MD
1810 Mulkey Rd, Suite 201,
Austell, GA 30106-1151

Ph: (770) 819-9262
Dr Annisha Ellis, MD
1810 Mulkey Rd, Suite 201,
Austell, GA 30106-1151

Ph: (770) 819-9262

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Pediatrics Doctors in Austell, GA

Mrs. Joli Ann Mccarthy, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3950 Austell Rd, Austell, GA 30106
Phone: 770-732-4000    
Kelly Solms Garrison, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3950 Austell Rd # 22, Austell, GA 30106
Phone: 770-732-4022    Fax: 770-732-4023
Mrs. Faye E. Spector Maloney, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1664 Mulkey Rd, Austell, GA 30106
Phone: 770-941-7709    Fax: 770-941-6441
Dr. Shelly-ann Michela Salandy, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1680 Mulkey Rd, Suite E, Austell, GA 30106
Phone: 770-941-5107    Fax: 770-944-1013
Dr. Patricia Anne Wolfe, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1810 Mulkey Rd, Suite 201, Austell, GA 30106
Phone: 770-819-9262    Fax: 678-945-1295
Dr. Jennifer N Vernon, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1810 Mulkey Rd, Suite 201, Austell, GA 30106
Phone: 404-316-6269    

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