Dr Herman Martin Ellis, MD - Medicare Preventive Medicine in Newark, DE

Dr Herman Martin Ellis, MD is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Newark, Delaware. His current practice location is 100 Biddle Ave Ste 101, Newark, Delaware. You can reach out to his office (for appointments etc.) via phone at (410) 505-8605.

Dr Herman Martin Ellis is licensed to practice in Delaware (license number C10007434) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1386768612.

Contact Information

Dr Herman Martin Ellis, MD
100 Biddle Ave Ste 101,
Newark, DE 19702-3982
(410) 505-8605
(240) 770-0436



Physician's Profile

Full NameDr Herman Martin Ellis
GenderMale
SpecialityPreventive Medicine - Addiction Medicine
Location100 Biddle Ave Ste 101, Newark, Delaware
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386768612
  • Provider Enumeration Date: 03/19/2007
  • Last Update Date: 06/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5698727782
  • Enrollment ID: I20050217000107

Medical Identifiers

Medical identifiers for Dr Herman Martin Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386768612NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083P0901XPreventive Medicine - Public Health & General Preventive Medicine C1-0007434 (Delaware)Secondary
2083A0300XPreventive Medicine - Addiction Medicine C10007434 (Delaware)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 Herman Martin Ellis allows following entities to bill medicare on his behalf.
Entity NameThe Life Center Complex, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770808578
PECOS PAC ID: 6800038076
Enrollment ID: O20130819000252

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Entity NameClh Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275270936
PECOS PAC ID: 6800270976
Enrollment ID: O20220908003499

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Entity NameChoice Recovery House
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306539226
PECOS PAC ID: 5092176982
Enrollment ID: O20230725000979

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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 Herman Martin 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 Herman Martin Ellis, MD
9123 Old Annapolis Rd Ste 203&204,
Columbia, MD 21045-1953

Ph: (410) 505-8605
Dr Herman Martin Ellis, MD
100 Biddle Ave Ste 101,
Newark, DE 19702-3982

Ph: (410) 505-8605

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Preventive Medicine Doctors in Newark, DE

Frederick M Williams, M.D.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4110 Staton- Ogletown Road, Newark, DE 19713
Phone: 615-778-4066    
Dr. Michael Arthur Kennedy, MD
Preventive Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 62 N. Chapel St, #100, Physicians Group, Llc, Newark, DE 19711
Phone: 302-737-6099    Fax: 302-737-6299

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