Mark I Ellen, MD - Medicare Physical Medicine & Rehabilitation in Atlanta, GA

Mark I Ellen, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Atlanta, Georgia. His current practice location is 2108 Alexander Cir Ne, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (214) 952-3501.

Mark I Ellen is licensed to practice in Florida (license number ME145025) 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 1720181951.

Contact Information

Mark I Ellen, MD
2108 Alexander Cir Ne,
Atlanta, GA 30326-1246
(214) 952-3501
Not Available



Physician's Profile

Full NameMark I Ellen
GenderMale
SpecialityPhysical Medicine & Rehabilitation
Location2108 Alexander Cir Ne, Atlanta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720181951
  • Provider Enumeration Date: 09/06/2006
  • Last Update Date: 05/18/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8022025683
  • Enrollment ID: I20171209000002

Medical Identifiers

Medical identifiers for Mark I Ellen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720181951NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine 25MA06361300 (New Jersey)Secondary
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine MD051555L (Pennsylvania)Secondary
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine 2005-01826 (North Carolina)Secondary
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine G71376 (California)Secondary
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine ME145025 (Florida)Secondary
208100000XPhysical Medicine & Rehabilitation ME145025 (Florida)Primary
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine 50578 (Georgia)Secondary

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. Mark I Ellen allows following entities to bill medicare on his behalf.
Entity NameJohns Hopkins University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922008549
PECOS PAC ID: 8921903147
Enrollment ID: O20031215000719

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Entity NameJohns Hopkins University
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1275180424
PECOS PAC ID: 8921903147
Enrollment ID: O20191220001328

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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. Mark I Ellen 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
Mark I Ellen, MD
10435 Se 170th Pl,
Summerfield, FL 34491-8998

Ph: (352) 630-6250
Mark I Ellen, MD
2108 Alexander Cir Ne,
Atlanta, GA 30326-1246

Ph: (214) 952-3501

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Physical Medicine & Rehabilitation Doctors in Atlanta, GA

Miss Ashley Johnson, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 2020 Peachtree Rd Nw, Atlanta, GA 30309
Phone: 404-352-2020    
Di Cui,
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 59 Executive Park S, #2000, Atlanta, GA 30329
Phone: 404-778-7138    
Joyce L Terrell, ATC
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: West End Well Werks, Llc, 1062 Ralph David Abernathy Blvd Sw, Atlanta, GA 30310
Phone: 678-471-4615    Fax: 404-921-9233
Dr. Dale Christian Strasser, M.D.
Physical Medicine & Rehabilitation
Medicare: Medicare Enrolled
Practice Location: 1441 Clifton Rd Ne, Atlanta, GA 30322
Phone: 404-778-5770    Fax: 404-712-5668
Anna Choo Elmers, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 2020 Peachtree Rd Nw, Atlanta, GA 30309
Phone: 404-603-4279    Fax: 404-350-7381
Dr. Thomas H Xu, MD
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 2001 Peachtree Rd Ne Ste 550, Atlanta, GA 30309
Phone: 404-299-3338    
Mikhail Zhukalin,
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 1648 Pierce Dr. Ne, Atlanta, GA 30307
Phone: 515-770-7556    

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