Marissa Nicole Ellis, PA-C is a medicare enrolled "Physician Assistant" physician in Morristown, New Jersey. Her current practice location is
55 Madison Ave Ste 360, Morristown, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 971-7830.
Marissa Nicole Ellis is licensed to practice in * (Not Available) (license number ) 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 1255030334.
Physician's Profile
Full Name | Marissa Nicole Ellis |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 55 Madison Ave Ste 360, Morristown, New Jersey |
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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: 1255030334
- Provider Enumeration Date: 02/28/2023
- Last Update Date: 01/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002268695
- Enrollment ID: I20240118004714
Medical Identifiers
Medical identifiers for Marissa Nicole Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255030334 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207XP3100X | Orthopaedic Surgery - Pediatric Orthopaedic Surgery | 25MP00769000 (New Jersey) | Secondary |
363A00000X | Physician Assistant | (* (Not Available)) | 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. Marissa Nicole 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 |
Marissa Nicole Ellis, PA-C Po Box 416457, Boston, MA 02241-3947 Ph: (844) 362-1735 | Marissa Nicole Ellis, PA-C 55 Madison Ave Ste 360, Morristown, NJ 07960-7390 Ph: (973) 971-7830 |
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