Dr Mark Frederick Ellison, MD - Urology in Athens, GA

Dr Mark Frederick Ellison, MD is a Urology physician based in Athens, Georgia. Dr Mark Frederick Ellison is licensed to practice in Georgia (license number 026107) and his current practice location is 2142 W Broad St, Building 200, Suite 200, Athens, Georgia. He can be reached at his office (for appointments etc.) via phone at (706) 612-9401.

NPI number for Dr Mark Frederick Ellison is 1265431092 and his current mailing address is Po Box 6127, Athens, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265431092.

Contact Information

Dr Mark Frederick Ellison, MD
2142 W Broad St, Building 200, Suite 200,
Athens, GA 30606-3506
(706) 612-9401
(706) 612-9410



Physician's Profile

Full NameDr Mark Frederick Ellison
GenderMale
SpecialityUrology
Location2142 W Broad St, Athens, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265431092
  • Provider Enumeration Date: 07/14/2005
  • Last Update Date: 03/07/2023

Medical Identifiers

Medical identifiers for Dr Mark Frederick Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265431092NPI-NPPES
000370994FMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 026107 (Georgia)Primary

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 Mark Frederick Ellison is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mark Frederick Ellison, MD
Po Box 6127,
Athens, GA 30604-6127

Ph: (706) 612-9401
Dr Mark Frederick Ellison, MD
2142 W Broad St, Building 200, Suite 200,
Athens, GA 30606-3506

Ph: (706) 612-9401

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› Verified 1 days ago


Urology Doctors in Athens, GA

Catherine Schwender, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 2142 W Broad St Ste 200, Athens, GA 30606
Phone: 706-612-9401    Fax: 706-612-9410
Stephanie Johnson, NP
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Oglethorpe Ave, Suite 2000, Athens, GA 30606
Phone: 706-543-6261    
Mark A Adams, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 957 Baxter Street, Athens, GA 30606
Phone: 706-549-4999    Fax: 706-549-0410
Dr. David Carter Allen, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 120 Trinity Pl, Athens, GA 30607
Phone: 706-543-2718    Fax: 706-353-3709

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