Chandra Ellis, RN is a
Case Manager/care Coordinator based in Fort Worth, Texas. Chandra Ellis is licensed to practice in * (Not Available) (license number ) and her current practice location is
716 Mud Lake Trl, Fort Worth, Texas. She can be reached at her office (for appointments etc.) via phone at
(682) 564-2588.
NPI number for Chandra Ellis is 1811565120 and her current mailing address is 716 Mud Lake Trl, Fort Worth, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811565120.
Provider's Profile
Full Name | Chandra Ellis |
---|
Gender | Female |
---|
Speciality | Case Manager/care Coordinator |
---|
Location | 716 Mud Lake Trl, Fort Worth, Texas |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811565120
- Provider Enumeration Date: 06/14/2021
- Last Update Date: 07/01/2021
Medical Identifiers
Medical identifiers for Chandra Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811565120 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 644695 (Texas) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (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. Chandra Ellis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Chandra Ellis, RN 716 Mud Lake Trl, Fort Worth, TX 76120-2037 Ph: (682) 564-2588 | Chandra Ellis, RN 716 Mud Lake Trl, Fort Worth, TX 76120-2037 Ph: (682) 564-2588 |
Reviews and Comments