Mrs Ebony Marie Elam, NP - Medicare Nurse Practitioner in Lyndhurst, OH

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Mrs Ebony Marie Elam, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lyndhurst, Ohio. Her current practice location is 5294 Mayfield Rd, Lyndhurst, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 799-1136.

Mrs Ebony Marie Elam is licensed to practice in Ohio (license number 17243) 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 1568582724.

Contact Information

Mrs Ebony Marie Elam, NP
5294 Mayfield Rd,
Lyndhurst, OH 44124-2471
(216) 799-1136
Not Available

Map and Direction




Provider's Profile

Full NameMrs Ebony Marie Elam
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location5294 Mayfield Rd, Lyndhurst, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568582724
  • Provider Enumeration Date: 03/30/2007
  • Last Update Date: 06/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9335423474
  • Enrollment ID: I20170308002681

Medical Identifiers

Medical identifiers for Mrs Ebony Marie Elam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568582724NPI-NPPES
2496062MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F0315410 (Ohio)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 17243 (Ohio)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. Mrs Ebony Marie Elam allows following entities to bill medicare on her behalf.
Entity NameLake Hospital System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952339996
PECOS PAC ID: 6002713922
Enrollment ID: O20031217000963
Entity NameAlcove Ventures Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093191322
PECOS PAC ID: 1456669605
Enrollment ID: O20151007002805
Entity NameCrossroads Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356303911
PECOS PAC ID: 9638440241
Enrollment ID: O20170731003569

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 Ebony Marie Elam 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
Mrs Ebony Marie Elam, NP
466 Trebisky Rd,
Richmond Hts, OH 44143-2823

Ph: (216) 799-1136		Mrs Ebony Marie Elam, NP
5294 Mayfield Rd,
Lyndhurst, OH 44124-2471

Ph: (216) 799-1136

Reviews and Comments


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Elizabeth Estanek,
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Phone: 216-372-0349    

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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