Ms Ellen E Treadway, FNP-C in Beaumont, TX - Medicare Nurse Practitioner

Ms Ellen E Treadway, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Beaumont, Texas. Her current practice location is 2194 Eastex Fwy Ste B, Beaumont, Texas. You can reach out to her office (for appointments etc.) via phone at (409) 899-2750.

Ms Ellen E Treadway is licensed to practice in Texas (license number AP139519) 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 1871052068.

Contact Information

	Ms Ellen E Treadway, FNP-C
	2194 Eastex Fwy Ste B, Beaumont, TX 77703-4981
	(409) 899-2750
	(409) 899-2757

Map and Direction

Provider's Profile

Full Name	Ms Ellen E Treadway
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2194 Eastex Fwy Ste B, Beaumont, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871052068
Provider Enumeration Date: 03/18/2019
Last Update Date: 02/01/2024

Medicare PECOS Information:

PECOS PAC ID: 1456684695
Enrollment ID: I20190604000128

Medical Identifiers

Medical identifiers for Ms Ellen E Treadway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871052068	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AP139519 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	AP139519 (Texas)	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. Ms Ellen E Treadway allows following entities to bill medicare on her behalf.

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

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. Ms Ellen E Treadway 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
Ms Ellen E Treadway, FNP-C 8425 Manion Dr, Beaumont, TX 77706-3926 Ph: (281) 386-6730	Ms Ellen E Treadway, FNP-C 2194 Eastex Fwy Ste B, Beaumont, TX 77703-4981 Ph: (409) 899-2750

Reviews and Comments

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Ms Ellen E Treadway, FNP-C - Medicare Nurse Practitioner in Beaumont, TX