Ellisiv Lien, MD - Medicare Physical Medicine And Rehabilitation in Tyler, TX

Ellisiv Lien, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Tyler, Texas. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. She is a member of the group practice Charles R. Gordon., Md, Pa and her current practice location is 2737 S Broadway Ave, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 592-6000.

Ellisiv Lien is licensed to practice in Texas (license number N1735) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265670749.

Contact Information

Ellisiv Lien, MD
2737 S Broadway Ave,
Tyler, TX 75701-5413
(903) 592-6000
(903) 592-3224



Physician's Profile

Full NameEllisiv Lien
GenderFemale
SpecialityPhysical Medicine And Rehabilitation
Experience24 Years
Location2737 S Broadway Ave, Tyler, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ellisiv Lien graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1265670749
  • Provider Enumeration Date: 01/22/2009
  • Last Update Date: 01/31/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3577629773
  • Enrollment ID: I20090312000315

Medical Identifiers

Medical identifiers for Ellisiv Lien such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265670749NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation N1735 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Charles R. Gordon., Md, Pa872999205226

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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. Ellisiv Lien allows following entities to bill medicare on her behalf.
Entity NameCharles R. Gordon., Md, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982717955
PECOS PAC ID: 8729992052
Enrollment ID: O20031206000131

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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. Ellisiv Lien 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
Ellisiv Lien, MD
Po Box 6605,
Tyler, TX 75711-6605

Ph: (903) 592-6000
Ellisiv Lien, MD
2737 S Broadway Ave,
Tyler, TX 75701-5413

Ph: (903) 592-6000

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› Verified 6 days ago


Physical Medicine & Rehabilitation Doctors in Tyler, TX

Dr. Bradley S Merritt, MD
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 3131 Troup Hwy, Tyler, TX 75701
Phone: 903-510-7006    
Mr. Chad Joseph Mcneil, MD
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 3414 Golden Rd, Tyler, TX 75701
Phone: 903-939-7500    Fax: 903-939-7728
Dr. Catherine M Fieseler, MD
Physical Medicine & Rehabilitation
Medicare: Medicare Enrolled
Practice Location: 1327 Troup Hwy, Tyler, TX 75701
Phone: 903-510-8840    
Jorge Ivan Garcia, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 910 E Houston St, Ste 330, Tyler, TX 75702
Phone: 903-525-7995    
Dr. James Edward Applebury, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 6546 Wheaton Ct, Tyler, TX 75703
Phone: 903-969-0143    
Dr. Janine Coles Islam, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 4295 Kinsey Dr, Tyler, TX 75703
Phone: 903-526-5000    Fax: 903-526-5006

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