Kameelah L Ellis, NP in Riverdale, GA - Medicare Nurse Practitioner

Kameelah L Ellis, NP is a medicare enrolled "Nurse Practitioner" in Riverdale, Georgia. Her current practice location is 33 Upper Riverdale Rd Sw Ste 21, Riverdale, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 314-8868.

Kameelah L Ellis is licensed to practice in Georgia (license number 179861) 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 1306360060.

Contact Information

	Kameelah L Ellis, NP
	33 Upper Riverdale Rd Sw Ste 21, Riverdale, GA 30274-2617
	(404) 314-8868
	Not Available

Map and Direction

Provider's Profile

Full Name	Kameelah L Ellis
Gender	Female
Speciality	Nurse Practitioner
Location	33 Upper Riverdale Rd Sw Ste 21, Riverdale, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306360060
Provider Enumeration Date: 08/02/2017
Last Update Date: 08/02/2017

Medicare PECOS Information:

PECOS PAC ID: 0143570762
Enrollment ID: I20180831001786

Medical Identifiers

Medical identifiers for Kameelah L Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306360060	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	179861 (Georgia)	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. Kameelah L Ellis allows following entities to bill medicare on her behalf.

Entity Name	Southern Regional Physicians Management Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043677271 PECOS PAC ID: 9032491956 Enrollment ID: O20170127002483

Entity Name	Rtw Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760081657 PECOS PAC ID: 2860806437 Enrollment ID: O20210122002237

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. Kameelah L Ellis 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
Kameelah L Ellis, NP Po Box 1631, Mcdonough, GA 30253-1631 Ph: (404) 314-8868	Kameelah L Ellis, NP 33 Upper Riverdale Rd Sw Ste 21, Riverdale, GA 30274-2617 Ph: (404) 314-8868

Reviews and Comments

Nurse Practitioner Nurses in Riverdale, GA

Karen Krechmery, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-994-9326 Fax: 770-994-4747
Sharlene Maynor, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 81 Upper Riverdale Rd Sw, Ste 210, Riverdale, GA 30274 Phone: 770-996-1200 Fax: 770-907-2334
Evelinn Suarez Blanks, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 83 Upper Riverdale Rd Sw Bldg 2, Riverdale, GA 30274 Phone: 770-991-0778
Miss Antranika D. Ross, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33 Upper Riverdale Rd Sw Ste 107, Riverdale, GA 30274 Phone: 678-489-6734 Fax: 888-497-4760
Dr. Qiana A Johnson, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 Highway 138 Sw, Riverdale, GA 30296 Phone: 470-575-6588
Ubi Okim, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 313-850-0299
Shibana Elder Cutter, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2798 Topaz Rd, Riverdale, GA 30296 Phone: 678-763-1869

Kameelah L Ellis, NP - Medicare Nurse Practitioner in Riverdale, GA