Crystal Mann-ellis, NP in Henrico, VA - Medicare Nurse Practitioner

Crystal Mann-ellis, NP is a medicare enrolled "Nurse Practitioner - Family" in Henrico, Virginia. Her current practice location is 1504 Santa Rosa Rd Rm 114, Henrico, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 210-3103.

Crystal Mann-ellis is licensed to practice in Virginia (license number 0024174547) 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 1124567581.

Contact Information

	Crystal Mann-ellis, NP
	1504 Santa Rosa Rd Rm 114, Henrico, VA 23229-5109
	(804) 210-3103
	(804) 210-3104

Map and Direction

Provider's Profile

Full Name	Crystal Mann-ellis
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1504 Santa Rosa Rd Rm 114, Henrico, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124567581
Provider Enumeration Date: 02/18/2017
Last Update Date: 08/20/2024

Medicare PECOS Information:

PECOS PAC ID: 9638455157
Enrollment ID: I20170418002543

Medical Identifiers

Medical identifiers for Crystal Mann-ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124567581	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024174547 (Virginia)	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. Crystal Mann-ellis allows following entities to bill medicare on her behalf.

Entity Name	Harmony At Home Provider Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245985415 PECOS PAC ID: 4587030804 Enrollment ID: O20221011002934

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. Crystal Mann-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
Crystal Mann-ellis, NP 1504 Santa Rosa Rd Rm 114, Henrico, VA 23229-5109 Ph: (804) 210-3101	Crystal Mann-ellis, NP 1504 Santa Rosa Rd Rm 114, Henrico, VA 23229-5109 Ph: (804) 210-3103

Reviews and Comments

Nurse Practitioner Nurses in Henrico, VA

Mrs. Ifeoma Nkemdilim Jennifer Elebo, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3024 Vanna Ln, Henrico, VA 23233 Phone: 804-528-9752 Fax: 804-409-8005
Stacey Renae White, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3001 Hungary Spring Rd Ste C, Henrico, VA 23228 Phone: 804-415-7156 Fax: 804-420-2854
Mrs. Andrea L. Mayo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8006 Discovery Dr Ste 400, Henrico, VA 23229 Phone: 804-256-8282 Fax: 804-256-8288
Emily League, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1503 Santa Rosa Rd Rm 211, Henrico, VA 23229 Phone: 804-303-9622
Brittney Michelle Clark, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9000 Staples Mill Rd, Henrico, VA 23228 Phone: 804-977-9526
Mrs. Marianna Nutting, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8006 Discovery Dr Ste 400, Henrico, VA 23229 Phone: 804-256-8282 Fax: 804-256-8288
Ms. Katherine Parks Watson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3450 Mayland Ct, Henrico, VA 23233 Phone: 894-484-3700

Crystal Mann-ellis, NP - Medicare Nurse Practitioner in Henrico, VA