Mrs Latrese Ann Ellis, NP - Medicare Nurse Practitioner in Atlanta, GA

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Mrs Latrese Ann Ellis, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Atlanta, Georgia. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Piedmont Professional Services Llc and her current practice location is 3800 Princeton Lakes Pkwy Sw, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 948-3019.

Mrs Latrese Ann Ellis is licensed to practice in Georgia (license number RN165019) 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 1861810749.

Contact Information

Mrs Latrese Ann Ellis, NP
3800 Princeton Lakes Pkwy Sw,
Atlanta, GA 30331-5580
(404) 948-3019
Not Available

Map and Direction




Physician's Profile

Full NameMrs Latrese Ann Ellis
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location3800 Princeton Lakes Pkwy Sw, Atlanta, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Latrese Ann Ellis graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1861810749
  • Provider Enumeration Date: 03/28/2014
  • Last Update Date: 11/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6002030947
  • Enrollment ID: I20140616000080

Medical Identifiers

Medical identifiers for Mrs Latrese Ann Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861810749NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine RN165019 (Georgia)Secondary
363LF0000XNurse Practitioner - Family RN165019 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Piedmont Professional Services Llc8921176231132

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. Mrs Latrese Ann Ellis allows following entities to bill medicare on her behalf.
Entity NamePiedmont Professional Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104088905
PECOS PAC ID: 8921176231
Enrollment ID: O20081014000187
Entity NameVpa Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164149365
PECOS PAC ID: 9234041948
Enrollment ID: O20210722000258

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. Mrs Latrese Ann 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 AddressPractice Location Address
Mrs Latrese Ann Ellis, NP
5764 Peachtree Industrial Blvd # 4505,
Chamblee, GA 30341-1908

Ph: (770) 457-4401		Mrs Latrese Ann Ellis, NP
3800 Princeton Lakes Pkwy Sw,
Atlanta, GA 30331-5580

Ph: (404) 948-3019

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.