Deva Marie Ellis, APRN in Jefferson City, TN - Medicare Nurse Practitioner

Deva Marie Ellis, APRN is a medicare enrolled "Nurse Practitioner - Family" in Jefferson City, Tennessee. Her current practice location is 1646 Russell Ave, Jefferson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 471-2000.

Deva Marie Ellis is licensed to practice in Florida (license number 11028293) 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 1528843992.

Contact Information

	Deva Marie Ellis, APRN
	1646 Russell Ave, Jefferson City, TN 37760-2204
	(865) 471-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Deva Marie Ellis
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1646 Russell Ave, Jefferson City, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528843992
Provider Enumeration Date: 08/25/2023
Last Update Date: 08/25/2023

Medicare PECOS Information:

PECOS PAC ID: 7517300163
Enrollment ID: I20240209003913

Medical Identifiers

Medical identifiers for Deva Marie Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528843992	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11028293 (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. Deva Marie Ellis allows following entities to bill medicare on her behalf.

Entity Name	Unique Healthcare Systems
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831567627 PECOS PAC ID: 5496058422 Enrollment ID: O20160125001731

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. Deva Marie 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
Deva Marie Ellis, APRN 7427 61st St E, Palmetto, FL 34221-8233 Ph: (937) 504-3049	Deva Marie Ellis, APRN 1646 Russell Ave, Jefferson City, TN 37760-2204 Ph: (865) 471-2000

Reviews and Comments

Nurse Practitioner Nurses in Jefferson City, TN

Mrs. Sally Ruth Hensley, APRN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 153 E Broadway Blvd, Jefferson City, TN 37760 Phone: 865-471-5110 Fax: 865-471-5105
Barbara Jean Smith, MSN, RN, FNP-BC,CDE Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1004 N Highway 92, Suite C, Jefferson City, TN 37760 Phone: 865-475-6100 Fax: 865-475-6106
Kiara Regina Hackler, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 657 E Broadway Blvd Ste C, Jefferson City, TN 37760 Phone: 865-475-9062 Fax: 865-475-9063
Mr. Neil Edward Pressley, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 153 E Broadway Blvd, Jefferson City, TN 37760 Phone: 865-475-9969 Fax: 865-475-9901
Dr. Betty Jo Ellington, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1413 Russell Ave, Jefferson City, TN 37760 Phone: 865-471-5525
Katherine Besola, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1004 N Highway 92 Ste B, Jefferson City, TN 37760 Phone: 865-647-3400 Fax: 865-647-3401
Katherine Montoto, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 380 W Broadway Blvd Ste 130, Jefferson City, TN 37760 Phone: 865-584-4747

Deva Marie Ellis, APRN - Medicare Nurse Practitioner in Jefferson City, TN