Dr. Alysa Gail Ellis

MD | Pediatric Allergy-Immunology | Female

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Complete Profile:

Dr. Alysa Gail Ellis basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Allergy/Immunology
Provider Name :	Dr. Alysa Gail Ellis
Credential :	MD
Gender :	Female

Business Address:

Dr. Alysa Gail Ellis address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1 Childrens Pl, Div Ped Allergy/immuno/pulmo Saint Louis, MO, 63110-1002 United States
Phone Number :	314-454-2694
Fax Number :	314-454-2515

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1528237633
NPI Entity Type :	Individual
First Enrolment Date :	22 Feb, 2008
Last Updated On :	15 Nov, 2021

Medicare Participation:

Dr. Alysa Gail Ellis participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	6406970169
Medicare Enrollment ID :	I20100901000693
Primary Specialty :	Allergy/immunology
Medical School :	University Of Missouri, Kansas City, School Of Medicine
Graduation Year :	2005
Accepts Medicare?	Yes. Dr. Alysa Gail Ellis accepts medicare insurance.

Group Practice Association:

Dr. Alysa Gail Ellis is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Alysa Gail Ellis is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Washington University	9830008770	2383	13001 N Outer 40 Rd 2e St Louis Childrens Specialty Care Center Town And Country, MO - 630175941 Ph: 3144543220	Yes
Washington University	9830008770	2383	1 Childrens Pl Saint Louis, MO - 631101002	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Alysa Gail Ellis are as mentioned. Primary taxonomy code for Dr. Alysa Gail Ellis, MD is 2080P0201X (Pediatrics Pediatric Allergy/Immunology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	2009009427	MO
2080P0201X	Pediatrics Pediatric Allergy/Immunology	Yes	2009009427	MO

Legacy Identifiers:

Other legacy medical identifiers of Dr. Alysa Gail Ellis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
204208201	MEDICAID	MO

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1 Childrens Pl, Msc 8515-87-1200 Saint Louis, MO, 63110-1002 United States
Phone Number :	314-454-2694
Fax Number :	314-454-2515

Business Location:

Patients can refer following map for directions to Dr. Alysa Gail Ellis practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.