Dr Percita Loren Ellis, MD is a medicare enrolled "Pediatrics" physician in Lexington, Virginia. Her current practice location is
6 Grouse Run Rd, Lexington, Virginia. You can reach out to her office (for appointments etc.) via phone at
(540) 463-1006.
Dr Percita Loren Ellis is licensed to practice in Virginia (license number 0101231232) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962477281.
Physician's Profile
Full Name | Dr Percita Loren Ellis |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 6 Grouse Run Rd, Lexington, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962477281
- Provider Enumeration Date: 02/21/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8426335068
- Enrollment ID: I20170508001753
Medical Identifiers
Medical identifiers for Dr Percita Loren Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962477281 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 0101231232 (Virginia) | 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. Dr Percita Loren Ellis 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 Address | Practice Location Address |
Dr Percita Loren Ellis, MD 6 Grouse Run Rd, Lexington, VA 24450-2252 Ph: (540) 463-1006 | Dr Percita Loren Ellis, MD 6 Grouse Run Rd, Lexington, VA 24450-2252 Ph: (540) 463-1006 |
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