Ellen L Larusso, APRN in Daytona Beach, FL - Medicare Nurse Practitioner

Ellen L Larusso, APRN is a medicare enrolled "Nurse Practitioner - Family" in Daytona Beach, Florida. Her current practice location is 301 Memorial Medical Pkwy, Daytona Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 231-3615.

Ellen L Larusso is licensed to practice in Florida (license number 9428863) 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 1427263383.

Contact Information

	Ellen L Larusso, APRN
	301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167
	(386) 231-3615
	(386) 231-3614

Map and Direction

Provider's Profile

Full Name	Ellen L Larusso
Gender	Female
Speciality	Nurse Practitioner - Family
Location	301 Memorial Medical Pkwy, Daytona Beach, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427263383
Provider Enumeration Date: 05/14/2007
Last Update Date: 12/20/2018

Medicare PECOS Information:

PECOS PAC ID: 5799861183
Enrollment ID: I20181127001636

Medical Identifiers

Medical identifiers for Ellen L Larusso such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427263383	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F335300-1 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	5009587 (North Carolina)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
363LF0000X	Nurse Practitioner - Family	9428863 (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. Ellen L Larusso allows following entities to bill medicare on her behalf.

Entity Name	Nautilus Health Care Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912013558 PECOS PAC ID: 5991604852 Enrollment ID: O20040108000803

Entity Name	Cardiorenal Therapeutics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457917304 PECOS PAC ID: 7416280425 Enrollment ID: O20190606001295

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. Ellen L Larusso 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
Ellen L Larusso, APRN 5220 Belfort Rd Ste 103, Jacksonville, FL 32256-6017 Ph: (904) 446-3424	Ellen L Larusso, APRN 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 Ph: (386) 231-3615

Reviews and Comments

Nurse Practitioner Nurses in Daytona Beach, FL

Ashley Gillette, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Milton Rd, Daytona Beach, FL 32118 Phone: 970-260-0885
Brittany C Gaskin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1845 Holsonback Dr, Daytona Beach, FL 32117 Phone: 386-274-0500
Charles Wright, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-238-3200 Fax: 386-238-3264
Bruce Harris, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3512 S Atlantic Ave, Daytona Beach, FL 32118 Phone: 386-767-9544
Cloressa Dizney, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-4542 Fax: 386-425-7705
Gena Genovese Brennan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-353-7633 Fax: 386-615-4105
Mrs. Krystal Marie Disantis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 731 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 786-738-9144 Fax: 877-245-1597

Ellen L Larusso, APRN - Medicare Nurse Practitioner in Daytona Beach, FL