Don Ellis Phillips Sr, PMHNP - Nurse Practitioner in Oakland, CA

Don Ellis Phillips Sr, PMHNP is a Nurse Practitioner - Psychiatric/mental Health based in Oakland, California. Don Ellis Phillips Sr is licensed to practice in California (license number 95047438) and his current practice location is 6333 Telegraph Ave, Oakland, California. He can be reached at his office (for appointments etc.) via phone at (510) 923-0180.

NPI number for Don Ellis Phillips Sr is 1396203253 and his current mailing address is 6333 Telegraph Ave, Oakland, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396203253.

Contact Information

Don Ellis Phillips Sr, PMHNP
6333 Telegraph Ave,
Oakland, CA 94609-1359
(510) 923-0180
(510) 923-0894

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Provider's Profile

Full NameDon Ellis Phillips Sr
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location6333 Telegraph Ave, Oakland, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1396203253
  • Provider Enumeration Date: 03/08/2019
  • Last Update Date: 03/08/2019

Medical Identifiers

Medical identifiers for Don Ellis Phillips Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396203253NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 95047438 (California)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. Don Ellis Phillips Sr 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 AddressPractice Location Address
Don Ellis Phillips Sr, PMHNP
6333 Telegraph Ave,
Oakland, CA 94609-1359

Ph: () -
Don Ellis Phillips Sr, PMHNP
6333 Telegraph Ave,
Oakland, CA 94609-1359

Ph: (510) 923-0180

Reviews and Comments


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