Gretta Ellis, is a medicare enrolled "Nurse Practitioner" physician in Tavares, Florida. She graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. 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 | Nurse Practitioner |
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| Experience | 7 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. |
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Medical Education and Training:
- Gretta Ellis graduated from medical school in 2018
NPI Data:
- NPI Number: 1457826281
- Provider Enumeration Date: 10/08/2018
- Last Update Date: 08/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 3870835101
- Enrollment ID: I20190507000211
Medical Identifiers
Medical identifiers for Gretta Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457826281 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207K00000X | Allergy & Immunology | APRN9327255 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 9327255 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | APRN9327255 (Florida) | Primary |
Medical Facilities Affiliation
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. Gretta Ellis allows following entities to bill medicare on her behalf.
| Entity Name | Healthcare Partners Family Medicine Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902242837
PECOS PAC ID: 9537308739
Enrollment ID: O20130619000527 |
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| Entity Name | Ellis Integrative Family Practice Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174101562
PECOS PAC ID: 9638578065
Enrollment ID: O20210604000448 |
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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. 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 |
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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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