Mrs Latrese Ann Ellis, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Atlanta, Georgia. 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.
Physician's Profile
Full Name | Mrs Latrese Ann Ellis |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 3800 Princeton Lakes Pkwy Sw, Atlanta, Georgia |
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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:
- Mrs Latrese Ann Ellis attended and graduated from in
NPI Data:
- NPI Number: 1861810749
- Provider Enumeration Date: 03/28/2014
- Last Update Date: 11/20/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Latrese Ann Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861810749 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | RN165019 (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN165019 (Georgia) | 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. 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 Address | Practice 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 |
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