Kenneth Robert Ellison, PA - Medicare Physician Assistant in Fort Walton Beach, FL

Kenneth Robert Ellison, PA is a medicare enrolled "Physician Assistant - Medical" in Fort Walton Beach, Florida. He graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Northwest Florida Multispecialty Physicians Llc and his current practice location is 1032 Mar Walt Dr, Suite 250, Fort Walton Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 863-3463.

Kenneth Robert Ellison is licensed to practice in Florida (license number 9106823) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1831122803.

Contact Information

Kenneth Robert Ellison, PA
1032 Mar Walt Dr, Suite 250,
Fort Walton Beach, FL 32547-6661
(850) 863-3463
(850) 315-6051

Map and Direction




Provider's Profile

Full NameKenneth Robert Ellison
GenderMale
SpecialityPhysician Assistant
Experience22 Years
Location1032 Mar Walt Dr, Fort Walton Beach, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kenneth Robert Ellison graduated from nursing school in 2002
  NPI Data:
  • NPI Number: 1831122803
  • Provider Enumeration Date: 07/10/2006
  • Last Update Date: 01/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7113928805
  • Enrollment ID: I20121114000369

Medical Identifiers

Medical identifiers for Kenneth Robert Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831122803NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 9106823 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fort Walton Beach Medical CenterFort walton beach, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northwest Florida Multispecialty Physicians Llc559780177920

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. Kenneth Robert 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 AddressPractice Location Address
Kenneth Robert Ellison, PA
1032 Mar Walt Dr, Suite 250,
Fort Walton Beach, FL 32547-6661

Ph: (850) 863-3463
Kenneth Robert Ellison, PA
1032 Mar Walt Dr, Suite 250,
Fort Walton Beach, FL 32547-6661

Ph: (850) 863-3463

Reviews and Comments


Physician Assistant Nurses in Fort Walton Beach, FL

Danielle Horton, P.A.
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Phone: 850-314-7546    Fax: 850-314-7542
Alexis Auen Gates, PA
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Practice Location: 1034 Mar Walt Dr, Fort Walton Beach, FL 32547
Phone: 850-863-2153    Fax: 850-809-4312
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Medicare: Medicare Enrolled
Practice Location: 345 Miracle Strip Pkwy S.w., Fort Walton Beach, FL 32548
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Mrs. Jill Virginia Ash, PA
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Medicare: Medicare Enrolled
Practice Location: 339 Racetrack Rd, Suite 2, Fort Walton Beach, FL 32547
Phone: 850-863-7900    Fax: 850-864-3094
Mrs. Megan Antinone, PA-C
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Medicare: Not Enrolled in Medicare
Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547
Phone: 850-863-7607    
Mr. Nicholas Alexander Pukish Jr., PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 1825 Hurlburt Rd Ste 14, Fort Walton Beach, FL 32547
Phone: 850-610-8820    Fax: 844-297-8690
Dr. Claudia Fernanda Campuzano, PHYSICIAN ASSISTANT
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Medicare: Not Enrolled in Medicare
Practice Location: 113 Lielmanis Avenue, Fort Walton Beach, FL 32566
Phone: 850-855-6626    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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