Tyler Ellis
MD | Pediatrics | Male
Tyler Ellis, MD is a Rochester, Minnesota based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Tyler Ellis is
200 1st St Sw, Rochester, Minnesota - 55905-0001. He can be contacted on phone at
507-284-2511.
Tyler Ellis is a sole proprietor of his business.
NPI number (Unique professional ID) for Tyler Ellis is
1215597315 which was assigned by NPPES on 19 Jun, 2019 and it was last updated on 26 Aug, 2020.
Tyler Ellis license number is
67734 for Pediatrics (208000000X) in Minnesota.
Tyler Ellis is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Tyler Ellis basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Tyler Ellis |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Tyler 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 : | 200 1st St Sw
Rochester, MN, 55905-0001
United States |
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| Phone Number : | 507-284-2511 |
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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 : | 1215597315 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Jun, 2019 |
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| Last Updated On : | 26 Aug, 2020 |
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Medicare Participation:
Tyler Ellis participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 6800123134 |
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| Medicare Enrollment ID : | I20200820003437 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2019 |
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| Accepts Medicare? | Yes. Tyler Ellis accepts medicare insurance. |
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Group Practice Association:
Tyler 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 Tyler Ellis is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Mayo Clinic | 6507778255 | 4109 | 200 1st St Sw
Rochester, MN - 559050001
Ph: 5072842511 | 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 Tyler Ellis are as mentioned. Primary taxonomy code for Tyler Ellis, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 67734 | MN |
| 208000000X | Pediatrics | No | 30243 | MN |
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).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | tellis597927@ehrdirect.mayoclinicmsg.org
| No affiliation |
|
| 200 1ST ST SW,
ROCHESTER, MN, 55905-0001
United States |
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 : | 200 1st St Sw
Rochester, MN, 55905-0001
United States |
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| Phone Number : | 507-284-2511 |
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Business Location:
Patients can refer following map for directions to
Tyler 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.