Mandie Ellis, DAOM is a
Acupuncturist based in Glendale, Rhode Island. Mandie Ellis is licensed to practice in Rhode Island (license number DAOM00088) and her current practice location is
1991 Victory Hwy, Glendale, Rhode Island. She can be reached at her office (for appointments etc.) via phone at
(401) 710-4207.
NPI number for Mandie Ellis is 1790433605 and her current mailing address is 153 Woodstock Ave, Putnam, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790433605.
Healthcare Provider's Profile
| Full Name | Mandie Ellis |
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| Gender | Female |
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| Speciality | Acupuncturist |
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| Location | 1991 Victory Hwy, Glendale, Rhode Island |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790433605
- Provider Enumeration Date: 03/10/2022
- Last Update Date: 03/10/2022
Medical Identifiers
Medical identifiers for Mandie Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790433605 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | DAOM00088 (Rhode Island) | Primary |
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. Mandie Ellis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mandie Ellis, DAOM
153 Woodstock Ave,
Putnam, CT 06260-1429
Ph: (978) 798-8804 | Mandie Ellis, DAOM
1991 Victory Hwy,
Glendale, RI 02826-1670
Ph: (401) 710-4207 |
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