Ian Apollos Justl Ellis, - Medicare Emergency Medicine in Fort Worth, TX

Ian Apollos Justl Ellis, is a medicare enrolled "Emergency Medicine" physician in Fort Worth, Texas. His current practice location is 1500 S Main St, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 879-6799.

Ian Apollos Justl Ellis is licensed to practice in Texas (license number Q8730) 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 1073856183.

Contact Information

Ian Apollos Justl Ellis,
1500 S Main St,
Fort Worth, TX 76104-4917
(817) 879-6799
Not Available



Physician's Profile

Full NameIan Apollos Justl Ellis
GenderMale
SpecialityEmergency Medicine
Location1500 S Main St, Fort Worth, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073856183
  • Provider Enumeration Date: 03/27/2013
  • Last Update Date: 08/03/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3779879820
  • Enrollment ID: I20160915002157

Medical Identifiers

Medical identifiers for Ian Apollos Justl Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073856183NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine Q8730 (Texas)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. Ian Apollos Justl Ellis allows following entities to bill medicare on his behalf.
Entity NameQuestcare Medical Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164574489
PECOS PAC ID: 6204739402
Enrollment ID: O20040127000697

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Entity NameAcs Primary Care Physicians Southwest Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538101019
PECOS PAC ID: 1850204363
Enrollment ID: O20041206000027

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Entity NameIntegrative Emergency Services Physician Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285922542
PECOS PAC ID: 0749447936
Enrollment ID: O20120130000932

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Entity NameMydas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508296583
PECOS PAC ID: 6406083617
Enrollment ID: O20131214000233

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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. Ian Apollos Justl 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
Ian Apollos Justl Ellis,
1500 S Main St,
Fort Worth, TX 76104-4917

Ph: (817) 879-6799
Ian Apollos Justl Ellis,
1500 S Main St,
Fort Worth, TX 76104-4917

Ph: (817) 879-6799

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Emergency Medicine Doctors in Fort Worth, TX

Anna Burns Schroeder, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 6451 Brentwood Stair Rd, Suite 202, Fort Worth, TX 76112
Phone: 713-858-4684    
Joey Mayor, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1400 8th Ave, Fort Worth, TX 76104
Phone: 214-712-2074    Fax: 214-712-2444
Don Stewart Harper, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6451 Brentwood Stair Rd, Suite 200, Fort Worth, TX 76112
Phone: 817-507-1770    Fax: 817-507-1771
Dr. Britton Michael Devillier, M.D., M.P.H.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 801 7th Ave, Fort Worth, TX 76104
Phone: 682-885-4095    Fax: 682-885-7499
Lacey A Mcdaniel, PA-C
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7001 Granbury Rd, Fort Worth, TX 76133
Phone: 817-346-1925    Fax: 817-292-7237
Dr. Rafael Andres Raya, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3101 N Tarrant Pkwy, Fort Worth, TX 76177
Phone: 817-639-1000    
Mr. Karim S Jamal, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11801 S. Freeway, Fort Worth, TX 76134
Phone: 817-293-9110    

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