Ellen Hancock, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Ponte Verda Beach, Florida. Her current practice location is
209 Ponte Vedra Park Dr., Ponte Verda Beach, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 273-6200.
Ellen Hancock is licensed to practice in Texas (license number BP10057075) 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 1316392905.
Physician's Profile
| Full Name | Ellen Hancock |
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| Gender | Female |
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| Speciality | Surgery - Plastic And Reconstructive Surgery |
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| Location | 209 Ponte Vedra Park Dr., Ponte Verda Beach, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1316392905
- Provider Enumeration Date: 05/02/2016
- Last Update Date: 09/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 7618249467
- Enrollment ID: I20221011000133
Medical Identifiers
Medical identifiers for Ellen Hancock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316392905 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | BP10057075 (Texas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ellen Hancock allows following entities to bill medicare on her behalf.
| Entity Name | Ponte Vedra Plastic Surgery, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841461100
PECOS PAC ID: 5890786701
Enrollment ID: O20041025000741 |
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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. Ellen Hancock 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 |
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Ellen Hancock, MD
301 University Blvd,
Galveston, TX 77555-0724
Ph: (409) 772-8119 | Ellen Hancock, MD
209 Ponte Vedra Park Dr.,
Ponte Verda Beach, FL 32082
Ph: (904) 273-6200 |
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