Bevin Lyle Ellenberg, CRNP in Birmingham, AL - Medicare Nurse Practitioner

Bevin Lyle Ellenberg, CRNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Birmingham, Alabama. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Oncology Specialties, P.c. and her current practice location is 832 Princeton Ave Sw, Birmingham, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 206-8450.

Bevin Lyle Ellenberg is licensed to practice in Alabama (license number 1-140234) 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 1780100776.

Contact Information

	Bevin Lyle Ellenberg, CRNP
	832 Princeton Ave Sw, Birmingham, AL 35211-1320
	(205) 206-8450
	(205) 206-8364

Map and Direction

Provider's Profile

Full Name	Bevin Lyle Ellenberg
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	832 Princeton Ave Sw, Birmingham, Alabama
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:

Bevin Lyle Ellenberg graduated from nursing school in 2016

NPI Data:

NPI Number: 1780100776
Provider Enumeration Date: 08/21/2017
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 3173880168
Enrollment ID: I20171129002094

Medical Identifiers

Medical identifiers for Bevin Lyle Ellenberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780100776	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	1-140234 (Alabama)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	1-140234 (Alabama)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	1-140234 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Walker Baptist Medical Center	Jasper, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oncology Specialties, P.c.	1254328495	72

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. Bevin Lyle Ellenberg allows following entities to bill medicare on her behalf.

Entity Name	Oncology Specialties, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669425716 PECOS PAC ID: 1254328495 Enrollment ID: O20040428001467

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. Bevin Lyle Ellenberg 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
Bevin Lyle Ellenberg, CRNP Po Box 12366, Birmingham, AL 35202-2366 Ph: (205) 780-7101	Bevin Lyle Ellenberg, CRNP 832 Princeton Ave Sw, Birmingham, AL 35211-1320 Ph: (205) 206-8450

Reviews and Comments

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Ms. Carly Rae Hawkins, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 7th Ave S, Birmingham, AL 35233 Phone: 205-638-9285 Fax: 205-975-1941
Ashlee Brooke Quick, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3729 Mary Taylor Rd, Birmingham, AL 35235 Phone: 205-856-4440 Fax: 205-856-4445
Anyet Belyeu, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1201 11th Ave S, Birmingham, AL 35205 Phone: 205-930-7155 Fax: 205-930-7061
Amy Urban, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 7th Ave S, Lowder Bldg., Suite 618, Birmingham, AL 35233 Phone: 205-638-9918
Jessica Cha, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1717 6th Ave S, Birmingham, AL 35233 Phone: 800-822-8816

Bevin Lyle Ellenberg, CRNP - Medicare Nurse Practitioner in Birmingham, AL