Mr Jason Lee Ellen, OD - Medicare Optometrist in Jenks, OK

Mr Jason Lee Ellen, OD is a medicare enrolled "Optometrist" provider in Jenks, Oklahoma. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Creek Nation Hospital And Clinics, Oklahoma Medical Eye Group, Creek Nation Hospital And Clinics, Cherokee Nation and his current practice location is 244 S. Gateway Place, Suite 401, Jenks, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 747-2020.

Mr Jason Lee Ellen is licensed to practice in Oklahoma (license number 2272) 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 1962405928.

Contact Information

Mr Jason Lee Ellen, OD
244 S. Gateway Place, Suite 401,
Jenks, OK 74037
(918) 747-2020
(918) 747-2056



Healthcare Provider's Profile

Full NameMr Jason Lee Ellen
GenderMale
SpecialityOptometry
Experience25 Years
Location244 S. Gateway Place, Jenks, Oklahoma
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:
  • Mr Jason Lee Ellen graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1962405928
  • Provider Enumeration Date: 05/24/2005
  • Last Update Date: 03/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7214036821
  • Enrollment ID: I20070622000222

Medical Identifiers

Medical identifiers for Mr Jason Lee Ellen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962405928NPI-NPPES
2060377OtherOKUNITED HEALTHCARE
100761000AMedicaidOK
7518168OtherOKAETNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 2272 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cherokee Nation W W Hastings Indian HospitalTahlequah, OKHospital
Creek Nation Community HospitalOkemah, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Creek Nation Hospital And Clinics5698786226265
Oklahoma Medical Eye Group77192912029
Creek Nation Hospital And Clinics5698786226265
Cherokee Nation5799698742329

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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. Mr Jason Lee Ellen allows following entities to bill medicare on his behalf.
Provider NameNortheastern State University College Of Optometry
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1437106333
PECOS PAC ID: 0941112528
Enrollment ID: O20031103000296

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Provider NameCreek Nation Hospital & Clinics
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1366593923
PECOS PAC ID: 5698786226
Enrollment ID: O20070821000130

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Provider NameOklahoma Medical Eye Group
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1902283229
PECOS PAC ID: 7719291202
Enrollment ID: O20150728004591

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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. Mr Jason Lee 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
Mr Jason Lee Ellen, OD
244 S. Gateway Place, Suite 401,
Jenks, OK 74037

Ph: (918) 747-2020
Mr Jason Lee Ellen, OD
244 S. Gateway Place, Suite 401,
Jenks, OK 74037

Ph: (918) 747-2020

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› Verified 3 days ago


Optometrist in Jenks, OK

Riverside Eye Clinic
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 524 E Main St, Jenks, OK 74037
Phone: 918-296-4733    Fax: 918-296-4734
Insight Eyecare Jenks Pllc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 301 W Main St, Jenks, OK 74037
Phone: 918-296-3937    
Riverside Eye Clinic
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 524 E Main St, Jenks, OK 74037
Phone: 918-296-4733    
Dr. Hannah Sanders, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 224 S Gateway Place, Jenks, OK 74037
Phone: 918-747-2020    
Jenks Vision Center
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 301 W Main St, Jenks, OK 74037
Phone: 918-299-2020    Fax: 918-298-0198
Mr. Brandon Hadel, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 244 S Gateway Place, Suite 401, Jenks, OK 74037
Phone: 918-747-2020    Fax: 918-747-2056
Dr. Mary Joel Sturm, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 224 S Gateway Pl, Suite 101, Jenks, OK 74037
Phone: 918-747-2020    Fax: 918-747-2056

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