Dr. Robert Ray Ellis

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NPI Number Detailed Information

Provider Information:

Name:	Dr. Robert Ray Ellis
Gender:	M
Provider License Number If Given:	PT5070

NPI Information:

NPI:	1881945566
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	9/21/2012
Last Update Date:	7/5/2023

Provider Business Mailing Address:

Address:	4016 CASSIMER AVE Diberville, MS 39540
Phone Number:	2283261115
Fax Number:

Provider Business Practice Location Address:

Address:	4016 CASSIMER AVE Diberville, MS 39540
Phone Number:	2283261115
Fax Number:

Provider Taxonomy:

Primary:	171000000X
Secondary (if any):
State:	MS

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About Dr. Robert Ray Ellis

Dr. Robert Ray Ellis (DR. ROBERT RAY ELLIS ) is Active Military Health Care Provider Physician in Diberville, MS. The NPI Number for Dr. Robert Ray Ellis is 1881945566.

The current location address for Dr. Robert Ray Ellis is 4016 CASSIMER AVE Diberville, MS 39540 and the contact number is 2283261115 and fax number is . The mailing address for Dr. Robert Ray Ellis is 4016 CASSIMER AVE Diberville, MS 39540- 2283261115 (mailing address contact number - 2283261115).

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Robert Ray Ellis ?

Answer: The NPI Number for Dr. Robert Ray Ellis is 1881945566

Where is Dr. Robert Ray Ellis located?

Answer: Dr. Robert Ray Ellis is located at 4016 CASSIMER AVE Diberville, MS 39540.

What is the specialty for Dr. Robert Ray Ellis ?

Answer: The Specialty of Dr. Robert Ray Ellis is Active Military Health Care Provider Physician.

Are there any online reviews for Dr. Robert Ray Ellis ?

Answer: Not yet!

Are there any other health care providers in Diberville, MS?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Robert Ray Ellis

Number of HCPCS	9
Number of Medicare Beneficiaries	48
Number of Services	1082
Total Submitted Charge Amount	46510.31
Total Medicare Allowed Amount	26915.99
Total Medicare Payment Amount	21022.74
Total Medicare Standardized Payment Amount	22531.43
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	0
Number of Medicare Beneficiaries With Drug Services	0
Number of Drug Services	0
Total Drug Submitted Charge Amount	0
Total Drug Medicare Allowed Amount	0
Total Drug Medicare Payment Amount	0
Total Drug Medicare Standardized Payment Amount	0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	9
Number of Medicare Beneficiaries With Medical	48
Number of Medical Services	1082
Total Medical Submitted Charge Amount	46510.31
Total Medical Medicare Allowed Amount	26915.99
Total Medical Medicare Payment Amount	21022.74
Total Medical Medicare Standardized Payment Amount	22531.43
Average Age of Beneficiaries	72
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74	21
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	25
Number of Male Beneficiaries	23
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.52
Percent (%) of Beneficiaries Identified With Hypertension	0.54
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.54
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	1.0099

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