Mrs Katha D Ellis, APRN in Bartow, FL - Medicare Nurse Practitioner

Mrs Katha D Ellis, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" in Bartow, Florida. Her current practice location is 1255 Golfview Ave, Bartow, Florida. You can reach out to her office (for appointments etc.) via phone at (863) 519-0575.

Mrs Katha D Ellis is licensed to practice in Florida (license number APRN731232) 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 1841658135.

Contact Information

	Mrs Katha D Ellis, APRN
	1255 Golfview Ave, Bartow, FL 33830-6736
	(863) 519-0575
	(863) 582-9251

Map and Direction

Provider's Profile

Full Name	Mrs Katha D Ellis
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	1255 Golfview Ave, Bartow, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841658135
Provider Enumeration Date: 02/02/2016
Last Update Date: 03/19/2020

Medicare PECOS Information:

PECOS PAC ID: 4486953031
Enrollment ID: I20160503000965

Medical Identifiers

Medical identifiers for Mrs Katha D Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841658135	NPI	-	NPPES
016655800	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	APRN731232 (Florida)	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 Katha D Ellis allows following entities to bill medicare on her behalf.

Entity Name	Peace River Center For Personal Development Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821097767 PECOS PAC ID: 7719877927 Enrollment ID: O20040319000056

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 Katha D 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 Katha D Ellis, APRN Po Box 1559, Bartow, FL 33831-1559 Ph: (863) 519-0575	Mrs Katha D Ellis, APRN 1255 Golfview Ave, Bartow, FL 33830-6736 Ph: (863) 519-0575

Reviews and Comments

Nurse Practitioner Nurses in Bartow, FL

Jeena Mathew, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1170 Nevermore Cir, Bartow, FL 33830 Phone: 863-512-1055
Sarah Anne Crowley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1260 Golfview Ave, Bartow, FL 33830 Phone: 863-519-3900
Ms. Patricia Clark, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1255 Golfview Ave, Bartow, FL 33830 Phone: 863-519-3750 Fax: 863-519-3753
Yesenia Maria Martin, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1255 Golfview Ave, Bartow, FL 33830 Phone: 863-519-0575 Fax: 863-500-3776
Sandra Kay Heisler, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1260 Golfview Ave, Bartow, FL 33830 Phone: 863-519-3900
Ms. Suellen Cirelli, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1064 N. Broadway Ave, Bartow, FL 33830 Phone: 863-519-9797 Fax: 863-533-8723
Lois Hall, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1255 Brice Blvd, Bartow, FL 33830 Phone: 863-519-7900

Mrs Katha D Ellis, APRN - Medicare Nurse Practitioner in Bartow, FL