Dr Jonathan J Ellichman, MD in Memphis, TN - Medicare Vascular Surgery

Dr Jonathan J Ellichman, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Memphis, Tennessee. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Southern Cardiovascular Pllc, Southern Cardiovascular Pllc, Southern Cardiovascular Pllc and his current practice location is 6401 Poplar Ave Ste 410, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 259-2718.

Dr Jonathan J Ellichman is licensed to practice in Mississippi (license number 18972) 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 1073538823.

Contact Information

	Dr Jonathan J Ellichman, MD
	6401 Poplar Ave Ste 410, Memphis, TN 38119-4808
	(901) 259-2718
	(901) 259-1123

Physician's Profile

Full Name	Dr Jonathan J Ellichman
Gender	Male
Speciality	Vascular Surgery
Experience	25 Years
Location	6401 Poplar Ave Ste 410, Memphis, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jonathan J Ellichman graduated from medical school in 1999

NPI Data:

NPI Number: 1073538823
Provider Enumeration Date: 07/13/2006
Last Update Date: 03/08/2016

Medicare PECOS Information:

PECOS PAC ID: 1759395106
Enrollment ID: I20060206000559

Medical Identifiers

Medical identifiers for Dr Jonathan J Ellichman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073538823	NPI	-	NPPES
30005342	Medicaid	TN
165449001	Medicaid	AR
06336753	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	18972 (Mississippi)	Primary
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	39618 (Tennessee)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Cardiovascular Pllc	0042388373	2
Southern Cardiovascular Pllc	0042388373	2
Southern Cardiovascular Pllc	0042388373	2

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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 Jonathan J Ellichman allows following entities to bill medicare on his behalf.

Entity Name	Southern Cardiovascular Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447415104 PECOS PAC ID: 0042388373 Enrollment ID: O20130718000630

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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 Jonathan J Ellichman 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 Jonathan J Ellichman, MD 1779 Kirby Pkwy # 1-511, Memphis, TN 38138-3666 Ph: (901) 371-5218	Dr Jonathan J Ellichman, MD 6401 Poplar Ave Ste 410, Memphis, TN 38119-4808 Ph: (901) 259-2718

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Surgery Doctors in Memphis, TN

Leonard Harvey Hines, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 6005 Park Ave, Suite 821-b, Memphis, TN 38119 Phone: 901-726-1056 Fax: 901-726-5867
Dr. Robert D Wallace, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd Ste 500, Memphis, TN 38119 Phone: 901-866-8525
William Leslie Hickerson, MD Surgery Medicare: Medicare Enrolled Practice Location: 890 Madison Ave, Suite Tg032, Memphis, TN 38103 Phone: 901-448-2579 Fax: 901-448-2602
Dr. Albert Joseph Grobmyer Iii, Surgery Medicare: Not Enrolled in Medicare Practice Location: 3175 Lenox Park Blvd, Suite 309, Memphis, TN 38115 Phone: 901-273-2600 Fax: 901-761-3786
Dr. Dan Huff Shell Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd Ste 200, Memphis, TN 38119 Phone: 901-761-4844 Fax: 901-761-6929
Randall William Franz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104 Phone: 901-272-6018 Fax: 901-201-4203
Dr. Christine T Mroz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6005 Park, #700, Memphis, TN 38119 Phone: 901-527-3391 Fax: 901-578-3969

Dr Jonathan J Ellichman, MD - Medicare Vascular Surgery in Memphis, TN

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Group Practice Association

Novel drug combination for patients with NRAS-mutant melanoma

Florida considers managed care program to cut Medicaid costs

Extensive review supports safety of silicone breast implants

New study may give men a way to combat high cholesterol without drugs

Medicare Reassignments

Novel drug combination for patients with NRAS-mutant melanoma

Florida considers managed care program to cut Medicaid costs

Extensive review supports safety of silicone breast implants

New study may give men a way to combat high cholesterol without drugs

Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

Novel drug combination for patients with NRAS-mutant melanoma

Florida considers managed care program to cut Medicaid costs

Extensive review supports safety of silicone breast implants

New study may give men a way to combat high cholesterol without drugs

Surgery Doctors in Memphis, TN