Kaitlin Ellison, APRN in South Ogden, UT - Medicare Nurse Practitioner

Kaitlin Ellison, APRN is a medicare enrolled "Nurse Practitioner - Women's Health" in South Ogden, Utah. Her current practice location is 1525 E 6000 S, South Ogden, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 337-5800.

Kaitlin Ellison is licensed to practice in Utah (license number 10385255-4405) 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 1730864786.

Contact Information

	Kaitlin Ellison, APRN
	1525 E 6000 S, South Ogden, UT 84405-7144
	(801) 337-5800
	Not Available

Map and Direction

Provider's Profile

Full Name	Kaitlin Ellison
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	1525 E 6000 S, South Ogden, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730864786
Provider Enumeration Date: 06/19/2023
Last Update Date: 06/19/2023

Medicare PECOS Information:

PECOS PAC ID: 5799147484
Enrollment ID: I20230811001997

Medical Identifiers

Medical identifiers for Kaitlin Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730864786	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	10385255-4405 (Utah)	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. Kaitlin Ellison allows following entities to bill medicare on her behalf.

Entity Name	Circle Of Life Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548284078 PECOS PAC ID: 5193703544 Enrollment ID: O20040712000677

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. Kaitlin Ellison 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
Kaitlin Ellison, APRN 1525 E 6000 S, South Ogden, UT 84405-7144 Ph: (801) 337-5800	Kaitlin Ellison, APRN 1525 E 6000 S, South Ogden, UT 84405-7144 Ph: (801) 337-5800

Reviews and Comments

Nurse Practitioner Nurses in South Ogden, UT

Amos Richard Grim, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5974 Fashion Point Dr Ste 140, South Ogden, UT 84403 Phone: 801-683-1062 Fax: 801-295-5537
Lauren Marie Pizarro, APRN, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5926 Fashion Point Dr, South Ogden, UT 84403 Phone: 208-899-9996
Niari Anne Mcfarland, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5974 Fashion Point Dr Ste 110, South Ogden, UT 84403 Phone: 801-917-2270
Marie R. Hurst, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5974 Fashion Point Dr Ste 140, South Ogden, UT 84403 Phone: 801-683-1062 Fax: 801-295-5537
Ms. Haileigh Mason, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1893 E Skyline Dr # 104, South Ogden, UT 84403 Phone: 801-529-7005
Ms. Virginia Jean Mol, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 982 Chambers St, South Ogden, UT 84403 Phone: 801-479-4105 Fax: 801-584-2590
Shaylee C Pettit, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5711 S 1475 E Ste 201, South Ogden, UT 84403 Phone: 801-332-9034 Fax: 678-203-9134

Kaitlin Ellison, APRN - Medicare Nurse Practitioner in South Ogden, UT