Mrs Amanda L Ellis, APRNCNP in Canton, OH - Medicare Nurse Practitioner

Mrs Amanda L Ellis, APRNCNP is a medicare enrolled "Nurse Practitioner - Family" in Canton, Ohio. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lifecare Family Health And Dental Center, Inc. and her current practice location is 408 9th St Sw, Canton, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 454-2000.

Mrs Amanda L Ellis is licensed to practice in Ohio (license number APRN.CNP.025521) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902443195.

Contact Information

	Mrs Amanda L Ellis, APRNCNP
	408 9th St Sw, Canton, OH 44707-4714
	(330) 454-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Amanda L Ellis
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	408 9th St Sw, Canton, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Amanda L Ellis graduated from nursing school in 2019

NPI Data:

NPI Number: 1902443195
Provider Enumeration Date: 12/06/2019
Last Update Date: 01/19/2022

Medicare PECOS Information:

PECOS PAC ID: 9032538863
Enrollment ID: I20200929000968

Medical Identifiers

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

Identifier	Type	State	Issuer
1902443195	NPI	-	NPPES
0414147	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN.CNP.025521 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Medical Center	Canton, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifecare Family Health And Dental Center, Inc.	7315959483	11

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. Mrs Amanda L Ellis allows following entities to bill medicare on her behalf.

Entity Name	Lifecare Family Health And Dental Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013964923 PECOS PAC ID: 7315959483 Enrollment ID: O20131031001454

Entity Name	Grace Family Practice Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760850911 PECOS PAC ID: 5597072827 Enrollment ID: O20150929001445

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. Mrs Amanda 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
Mrs Amanda L Ellis, APRNCNP 408 9th St Sw, Canton, OH 44707-4714 Ph: () -	Mrs Amanda L Ellis, APRNCNP 408 9th St Sw, Canton, OH 44707-4714 Ph: (330) 454-2000

Reviews and Comments

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Tayler Rae Schembechler, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6076 Whipple Ave Nw, Canton, OH 44720 Phone: 330-305-5001
Heather Baker, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-452-9911

Mrs Amanda L Ellis, APRNCNP - Medicare Nurse Practitioner in Canton, OH