Bethany Laquell Ellis, FNP - Medicare Nurse Practitioner in Hallandale Beach, FL

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Bethany Laquell Ellis, FNP is a medicare enrolled "Nurse Practitioner - Family" in Hallandale Beach, Florida. Her current practice location is 1001 N Federal Hwy Ste 341, Hallandale Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (754) 444-9173.

Bethany Laquell Ellis is licensed to practice in Florida (license number 11007347) 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 1194349308.

Contact Information

Bethany Laquell Ellis, FNP
1001 N Federal Hwy Ste 341,
Hallandale Beach, FL 33009-2404
(754) 444-9173
(786) 221-3179

Map and Direction




Provider's Profile

Full NameBethany Laquell Ellis
GenderFemale
SpecialityNurse Practitioner - Family
Location1001 N Federal Hwy Ste 341, Hallandale Beach, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194349308
  • Provider Enumeration Date: 06/03/2020
  • Last Update Date: 09/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3577973494
  • Enrollment ID: I20201104003079

Medical Identifiers

Medical identifiers for Bethany Laquell Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194349308NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 11007347 (Florida)Primary

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. Bethany Laquell Ellis allows following entities to bill medicare on her behalf.
Entity NameSwallowing Diagnostics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710954672
PECOS PAC ID: 0244261683
Enrollment ID: O20050825000807
Entity NameConciergenp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760096135
PECOS PAC ID: 9133539059
Enrollment ID: O20201104002574

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. Bethany Laquell 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
Bethany Laquell Ellis, FNP
1001 N Federal Hwy Ste 341,
Hallandale Beach, FL 33009-2404

Ph: (754) 444-9173		Bethany Laquell Ellis, FNP
1001 N Federal Hwy Ste 341,
Hallandale Beach, FL 33009-2404

Ph: (754) 444-9173

Reviews and Comments


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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).

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