Elisheva Ellenberg, in Warren, MI - Medicare Nurse Practitioner

Elisheva Ellenberg, is a medicare enrolled "Nurse Practitioner - Family" in Warren, Michigan. Her current practice location is 11800 E 12 Mile Rd, Warren, Michigan. You can reach out to her office (for appointments etc.) via phone at (773) 517-7931.

Elisheva Ellenberg is licensed to practice in Michigan (license number 4704311157) 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 1831711936.

Contact Information

	Elisheva Ellenberg,
	11800 E 12 Mile Rd, Warren, MI 48093-3472
	(773) 517-7931
	Not Available

Map and Direction

Provider's Profile

Full Name	Elisheva Ellenberg
Gender	Female
Speciality	Nurse Practitioner - Family
Location	11800 E 12 Mile Rd, Warren, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831711936
Provider Enumeration Date: 05/12/2020
Last Update Date: 05/12/2020

Medicare PECOS Information:

PECOS PAC ID: 9638560782
Enrollment ID: I20211227001145

Medical Identifiers

Medical identifiers for Elisheva Ellenberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831711936	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704311157 (Michigan)	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. Elisheva Ellenberg allows following entities to bill medicare on her behalf.

Entity Name	Ascension Macomb Oakland Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134176472 PECOS PAC ID: 7315859725 Enrollment ID: O20031107000047

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. Elisheva Ellenberg 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
Elisheva Ellenberg, 16986 Hilton St, Southfield, MI 48075-1915 Ph: (773) 517-7931	Elisheva Ellenberg, 11800 E 12 Mile Rd, Warren, MI 48093-3472 Ph: (773) 517-7931

Reviews and Comments

Nurse Practitioner Nurses in Warren, MI

Lauren Koenig, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4669 E 8 Mile Rd, Warren, MI 48091 Phone: 313-416-6262
Rowena Callo Teodoro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27560 Hoover Rd., Warren, MI 48093 Phone: 586-757-6400 Fax: 586-757-8400
Mrs. Lauren Ashley Zipay, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5000
Li Song, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29245 Ryan Rd Ste 300, Warren, MI 48092 Phone: 586-578-0222
Olga Dmitryuk, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11480 E 13 Mile Rd, Warren, MI 48093 Phone: 586-216-9253
Alexander Cole-selvaggio, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27101 Schoenherr Rd, Warren, MI 48088 Phone: 586-758-5800 Fax: 586-758-5841
Jenny Dessinger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27560 Hoover Rd, Warren, MI 48093 Phone: 586-757-6400

Elisheva Ellenberg, - Medicare Nurse Practitioner in Warren, MI