Gretta Ellis, is a medicare enrolled "Nurse Practitioner" physician in Tavares, Florida. Her current practice location is
1865 Nightingale Ln Ste B, Tavares, Florida. You can reach out to her office (for appointments etc.) via phone at
(352) 508-5419.
Gretta Ellis is licensed to practice in Florida (license number APRN9327255) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457826281.
Physician's Profile
Full Name | Gretta Ellis |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 1865 Nightingale Ln Ste B, Tavares, Florida |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Gretta Ellis attended and graduated from in
NPI Data:
- NPI Number: 1457826281
- Provider Enumeration Date: 10/08/2018
- Last Update Date: 08/20/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Gretta Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457826281 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207K00000X | Allergy & Immunology | APRN9327255 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | 9327255 (Florida) | Secondary |
363L00000X | Nurse Practitioner | APRN9327255 (Florida) | 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. Gretta 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 |
Gretta Ellis, 1865 Nightingale Ln, Tavares, FL 32778-4360 Ph: (352) 457-1936 | Gretta Ellis, 1865 Nightingale Ln Ste B, Tavares, FL 32778-4322 Ph: (352) 508-5419 |
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