Mr Schuyler Blake Ellis, PMHNP-BC in Portland, OR

Mr Schuyler Blake Ellis, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Portland, Oregon. He went to University Of Texas Medical School At Houston and graduated in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Precision Mental Performance Llc and his current practice location is 308 Nw 11th Ave Fl 2, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 379-1902.

Mr Schuyler Blake Ellis is licensed to practice in Oregon (license number 202001770NP-PP) 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 1538709738.

Contact Information

	Mr Schuyler Blake Ellis, PMHNP-BC
	308 Nw 11th Ave Fl 2, Portland, OR 97209-2980
	(503) 379-1902
	(503) 217-2023

Map and Direction

Provider's Profile

Full Name	Mr Schuyler Blake Ellis
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	308 Nw 11th Ave Fl 2, Portland, Oregon
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 Schuyler Blake Ellis attended and graduated from University Of Texas Medical School At Houston in 2019

NPI Data:

NPI Number: 1538709738
Provider Enumeration Date: 01/15/2020
Last Update Date: 12/19/2022

Medicare PECOS Information:

PECOS PAC ID: 6608284260
Enrollment ID: I20210420001116

Medical Identifiers

Medical identifiers for Mr Schuyler Blake Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538709738	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	RN61052586 (Washington)	Secondary
163WP0808X	Registered Nurse - Psychiatric/mental Health	202001267RN (Oregon)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61052588 (Washington)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	202001770NP-PP (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Precision Mental Performance Llc	2062751357	9

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 Schuyler Blake Ellis allows following entities to bill medicare on his behalf.

Entity Name	Precision Mental Performance Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780166116 PECOS PAC ID: 2062751357 Enrollment ID: O20190304002804

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 Schuyler Blake 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 Schuyler Blake Ellis, PMHNP-BC 5621 Se 65th Ave, Portland, OR 97206-5426 Ph: (785) 817-5968	Mr Schuyler Blake Ellis, PMHNP-BC 308 Nw 11th Ave Fl 2, Portland, OR 97209-2980 Ph: (503) 379-1902

Reviews and Comments

Nurse Practitioner Nurses in Portland, OR

Mrs. Anjalee Nix Rowe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-3988
Ms. Susan Irene Smith, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239 Phone: 971-202-5500 Fax: 971-202-5555
Iva Juric, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239 Phone: 503-494-4808
Ms. Jessica A Dudley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-746-1575
Summer Morgan Massina, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209 Phone: 503-525-0090
Dr. Jeffery Wise, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1834 Nw 25th Ave Apt 504, Portland, OR 97210 Phone: 971-354-9242
A'lissa Richards, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12121 E Burnside St, Portland, OR 97216 Phone: 971-361-7700

Mr Schuyler Blake Ellis, PMHNP-BC - Medicare Nurse Practitioner in Portland, OR