Mrs Jawaneka P Ellerson, AG NPC in Montgomery, AL

Mrs Jawaneka P Ellerson, AG NPC is a medicare enrolled "Nurse Practitioner - Gerontology" in Montgomery, Alabama. Her current practice location is 2900 Mcgehee Rd, Montgomery, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 280-3349.

Mrs Jawaneka P Ellerson is licensed to practice in Alabama (license number AG0117043) 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 1396276127.

Contact Information

	Mrs Jawaneka P Ellerson, AG NPC
	2900 Mcgehee Rd, Montgomery, AL 36111-2151
	(334) 280-3349
	(334) 281-2308

Map and Direction

Provider's Profile

Full Name	Mrs Jawaneka P Ellerson
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	2900 Mcgehee Rd, Montgomery, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396276127
Provider Enumeration Date: 03/23/2017
Last Update Date: 03/23/2017

Medicare PECOS Information:

PECOS PAC ID: 1850660424
Enrollment ID: I20170713001341

Medical Identifiers

Medical identifiers for Mrs Jawaneka P Ellerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396276127	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	AG0117043 (Alabama)	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 Jawaneka P Ellerson allows following entities to bill medicare on her behalf.

Entity Name	West Alabama Aids Outreach Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033637434 PECOS PAC ID: 7517212376 Enrollment ID: O20180619001477

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 Jawaneka P Ellerson 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 Jawaneka P Ellerson, AG NPC Po Box 11087, Montgomery, AL 36111-0087 Ph: (334) 481-1599	Mrs Jawaneka P Ellerson, AG NPC 2900 Mcgehee Rd, Montgomery, AL 36111-2151 Ph: (334) 280-3349

Reviews and Comments

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Mrs Jawaneka P Ellerson, AG NPC - Medicare Nurse Practitioner in Montgomery, AL