Dr Keith W Ellis, MD - Medicare Internal Medicine in Springfield, MO

Dr Keith W Ellis, MD is a medicare enrolled "Internal Medicine" physician in Springfield, Missouri. He went to Texas A & M University System, Hsc, College Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Mercy Clinic Springfield Communities and his current practice location is 2115 S Fremont Ave, Suite 2300, Springfield, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 820-5600.

Dr Keith W Ellis is licensed to practice in Missouri (license number 2000151548) 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 1033275896.

Contact Information

Dr Keith W Ellis, MD
2115 S Fremont Ave, Suite 2300,
Springfield, MO 65804-2239
(417) 820-5600
(417) 820-5606



Physician's Profile

Full NameDr Keith W Ellis
GenderMale
SpecialityInternal Medicine
Experience27 Years
Location2115 S Fremont Ave, Springfield, Missouri
Accepts Medicare AssignmentsYes. 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 Keith W Ellis attended and graduated from Texas A & M University System, Hsc, College Of Medicine in 1997
  NPI Data:
  • NPI Number: 1033275896
  • Provider Enumeration Date: 12/28/2006
  • Last Update Date: 07/14/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 0345374294
  • Enrollment ID: I20100814000244

Medical Identifiers

Medical identifiers for Dr Keith W Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033275896NPI-NPPES
204963003MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 2000151548 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Hospital SpringfieldSpringfield, MOHospital
Mercy Hospital LebanonLebanon, MOHospital
Mercy Hospital - AuroraAurora, MOHospital
Citizens Memorial HospitalBolivar, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Clinic Springfield Communities7416865845922

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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 Keith W Ellis allows following entities to bill medicare on his behalf.
Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245277631
PECOS PAC ID: 7416865845
Enrollment ID: O20031104000060

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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 Keith W 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 Keith W Ellis, MD
Po Box 2580,
Springfield, MO 65801-2580

Ph: (417) 829-4620
Dr Keith W Ellis, MD
2115 S Fremont Ave, Suite 2300,
Springfield, MO 65804-2239

Ph: (417) 820-5600

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Internal Medicine Doctors in Springfield, MO

Dr. Mark H. Grimm, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 3231 S National Ave, Springfield, MO 65807
Phone: 417-888-5696    Fax: 417-888-6711
Dr. Sridevi Durga, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3800 S National Ave, Suite 400, Springfield, MO 65807
Phone: 417-875-2633    Fax: 417-875-3295
Bradley D Wiley, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1001 E Primrose St, Springfield, MO 65807
Phone: 417-875-3000    Fax: 417-875-3051
Walter S. Trombold, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6044 S Overlook Trl, Springfield, MO 65810
Phone: 417-771-5778    
Dr. Timi A Akins, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4814 S Montrose Pl, Springfield, MO 65810
Phone: 202-779-1247    
Ghulam Jeelani Siddiqui, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2115 S Fremont Ave, Suite 3300, Springfield, MO 65804
Phone: 417-820-5200    Fax: 417-820-5220
Danny R Penick, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3801 S National Ave, Springfield, MO 65807
Phone: 417-269-0000    

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