Charlotte Gaye Ellis, APRN-BC | |
712 S May St, Madisonville, TX 77864-2564 | |
(936) 348-3418 | |
Not Available |
Full Name | Charlotte Gaye Ellis |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 712 S May St, Madisonville, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316640832 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2022140613 (Texas) | Primary |
Entity Name | El Campo Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427334077 PECOS PAC ID: 6406021765 Enrollment ID: O20140813001385 |
Entity Name | Crockett Medical Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487155990 PECOS PAC ID: 3173884152 Enrollment ID: O20180316002045 |
Mailing Address | Practice Location Address |
---|---|
Charlotte Gaye Ellis, APRN-BC 2900 Old Houston Rd, Huntsville, TX 77340-6508 Ph: (832) 316-2220 | Charlotte Gaye Ellis, APRN-BC 712 S May St, Madisonville, TX 77864-2564 Ph: (936) 348-3418 |
April Thompson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 712 S May St, Madisonville, TX 77864 Phone: 936-348-3418 | |
Kelle Dawn Harper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 W Trinity St, Madisonville, TX 77864 Phone: 936-348-2284 Fax: 936-348-2294 | |
Darren Glenn Dye, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1613 E Main St, Madisonville, TX 77864 Phone: 936-591-8171 | |
Amanda Faith Boone, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2006 E Main St, Madisonville, TX 77864 Phone: 936-225-4961 |