Dr Jerry H Ellis, OD - Medicare Optometrist in Cherokee Village, AR

Dr Jerry H Ellis, OD is a medicare enrolled "Optometrist" provider in Cherokee Village, Arkansas. He went to University Of Houston - College Of Optometry and graduated in 1990 and has 34 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Progressive Eye Center Inc and his current practice location is 197 Hospital Drive, Suite A, Cherokee Village, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 257-2100.

Dr Jerry H Ellis is licensed to practice in Arkansas (license number 2408) 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 1083776611.

Contact Information

Dr Jerry H Ellis, OD
197 Hospital Drive, Suite A,
Cherokee Village, AR 72529-7315
(870) 257-2100
(870) 257-4395



Healthcare Provider's Profile

Full NameDr Jerry H Ellis
GenderMale
SpecialityOptometry
Experience34 Years
Location197 Hospital Drive, Cherokee Village, Arkansas
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 Jerry H Ellis attended and graduated from University Of Houston - College Of Optometry in 1990
  NPI Data:
  • NPI Number: 1083776611
  • Provider Enumeration Date: 12/13/2006
  • Last Update Date: 12/07/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 6800783523
  • Enrollment ID: I20110405000864

Medical Identifiers

Medical identifiers for Dr Jerry H Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083776611NPI-NPPES
128855722MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 2408 (Arkansas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Progressive Eye Center Inc78109624382

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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 Jerry H Ellis allows following entities to bill medicare on his behalf.
Provider NameProgressive Eye Center Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1649397126
PECOS PAC ID: 7810962438
Enrollment ID: O20040827000675

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Provider NameProgressive Eye Center Of Piggott Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1396053021
PECOS PAC ID: 3971787649
Enrollment ID: O20110405000822

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Provider NameProgressive Eye Center Of Paragould, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1326527995
PECOS PAC ID: 1951652924
Enrollment ID: O20181002000339

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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 Jerry H 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 Jerry H Ellis, OD
197 Hospital Drive, Suite A,
Cherokee Village, AR 72529-7315

Ph: (870) 257-2100
Dr Jerry H Ellis, OD
197 Hospital Drive, Suite A,
Cherokee Village, AR 72529-7315

Ph: (870) 257-2100

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Optometrist in Cherokee Village, AR

James Trey Upton,
Optometrist
Medicare: Medicare Enrolled
Practice Location: 197 Hospital Dr Ste A, Cherokee Village, AR 72529
Phone: 870-257-2100    
Progressive Eye Center Inc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 197 Hospital Drive, Suite A, Cherokee Village, AR 72529
Phone: 870-257-2100    Fax: 870-257-4395
Elizabeth M Kilgore, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 197 Hospital Dr Ste A, Cherokee Village, AR 72529
Phone: 870-257-2100    Fax: 870-257-4395

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