Mr Christopher Dominick Ellis, CRNP in Plains, PA

Mr Christopher Dominick Ellis, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Plains, Pennsylvania. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Northeastern Pennsylvania Cardiology Associates Llp and his current practice location is 667 N River St #201, Plains, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 823-1111.

Mr Christopher Dominick Ellis is licensed to practice in Pennsylvania (license number SP023586) 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 1366026361.

Contact Information

	Mr Christopher Dominick Ellis, CRNP
	667 N River St #201, Plains, PA 18705-1870
	(570) 823-1111
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Christopher Dominick Ellis
Gender	Male
Speciality	Nurse Practitioner
Experience	3 Years
Location	667 N River St #201, Plains, Pennsylvania
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Christopher Dominick Ellis graduated from nursing school in 2021

NPI Data:

NPI Number: 1366026361
Provider Enumeration Date: 05/06/2021
Last Update Date: 05/06/2021

Medicare PECOS Information:

PECOS PAC ID: 6103226220
Enrollment ID: I20210611000127

Medical Identifiers

Medical identifiers for Mr Christopher Dominick Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366026361	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP023586 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wilkes-barre General Hospital	Wilkes-barre, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northeastern Pennsylvania Cardiology Associates Llp	1052384658	6

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. Mr Christopher Dominick Ellis allows following entities to bill medicare on his behalf.

Entity Name	Northeastern Pennsylvania Cardiology Associates Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043351281 PECOS PAC ID: 1052384658 Enrollment ID: O20040812001261

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. Mr Christopher Dominick 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
Mr Christopher Dominick Ellis, CRNP 1160 Lantern Hill Rd, Shavertown, PA 18708-9590 Ph: (570) 606-7972	Mr Christopher Dominick Ellis, CRNP 667 N River St #201, Plains, PA 18705-1870 Ph: (570) 823-1111

Reviews and Comments

Nurse Practitioner Nurses in Plains, PA

London Nicole Mckenna, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Gallagher Dr, Plains, PA 18705 Phone: 570-970-1030 Fax: 570-970-0511
Kaci Wall, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 S River St, Plains, PA 18705 Phone: 570-824-8151
Mrs. Catherine Forlenza, C.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 672 N River St, Suite 111, Plains, PA 18705 Phone: 570-552-7150 Fax: 570-552-7155
M Jane D'alessandro, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11 Gallagher Drive, Plains, PA 18705 Phone: 570-970-1030 Fax: 570-970-0511
Alicia E Novak, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 672 S River St, Plains, PA 18705 Phone: 570-552-7170 Fax: 570-552-7169

Mr Christopher Dominick Ellis, CRNP - Medicare Nurse Practitioner in Plains, PA