Justine S Ellerman, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Saint Leonard, Maryland. She graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Shah And Associates Llc and her current practice location is
400 Ball Rd, Saint Leonard, Maryland. You can reach out to her office (for appointments etc.) via phone at
(516) 754-3268.
Justine S Ellerman is licensed to practice in Maryland (license number R191521) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043505324.
Provider's Profile
Full Name | Justine S Ellerman |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 23 Years |
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Location | 400 Ball Rd, Saint Leonard, Maryland |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Justine S Ellerman graduated from nursing school in 2001
NPI Data:
- NPI Number: 1043505324
- Provider Enumeration Date: 06/14/2011
- Last Update Date: 06/14/2011
Medicare PECOS Information:
- PECOS PAC ID: 7810113255
- Enrollment ID: I20140722000012
Medical Identifiers
Medical identifiers for Justine S Ellerman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043505324 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R191521 (Maryland) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Shah And Associates Llc | 6103901574 | 2 |
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. Justine S Ellerman allows following entities to bill medicare on her behalf.
Entity Name | Shah & Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669686432 PECOS PAC ID: 6103901574 Enrollment ID: O20080310000267 |
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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. Justine S Ellerman 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 |
Justine S Ellerman, CRNP Po Box 76, Saint Leonard, MD 20685-0076 Ph: (516) 754-3268 | Justine S Ellerman, CRNP 400 Ball Rd, Saint Leonard, MD 20685-2116 Ph: (516) 754-3268 |
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