Mrs Lani Ellis, PA-C in Bolivia, NC - Medicare Physician Assistant

Mrs Lani Ellis, PA-C is a medicare enrolled "Physician Assistant" in Bolivia, North Carolina. Her current practice location is 584 Hospital Dr Ne Unit C, Bolivia, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 721-4100.

Mrs Lani Ellis is licensed to practice in North Carolina (license number 0010-07945) 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 1821490996.

Contact Information

	Mrs Lani Ellis, PA-C
	584 Hospital Dr Ne Unit C, Bolivia, NC 28422
	(910) 721-4100
	(910) 721-4101

Map and Direction

Provider's Profile

Full Name	Mrs Lani Ellis
Gender	Female
Speciality	Physician Assistant
Location	584 Hospital Dr Ne Unit C, Bolivia, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821490996
Provider Enumeration Date: 09/20/2014
Last Update Date: 08/30/2022

Medicare PECOS Information:

PECOS PAC ID: 1456573740
Enrollment ID: I20180802003045

Medical Identifiers

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

Identifier	Type	State	Issuer
1821490996	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	0110004612 (Virginia)	Secondary
363AM0700X	Physician Assistant - Medical	110004612 (Virginia)	Secondary
363A00000X	Physician Assistant	0010-07945 (North Carolina)	Primary

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 Lani 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 Lani Ellis, PA-C 615 Shipyard Blvd, Wilmington, NC 28412-6431 Ph: (910) 343-0145	Mrs Lani Ellis, PA-C 584 Hospital Dr Ne Unit C, Bolivia, NC 28422 Ph: (910) 721-4100

Reviews and Comments

Physician Assistant Nurses in Bolivia, NC

Kelsey Ann Kramer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-921-2070 Fax: 910-721-2074
Zachary Davis Maier, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-721-1000
Jason Kyle Honaker, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 257 Hospital Dr., Suite 101, Bolivia, NC 28422 Phone: 910-721-4100 Fax: 910-721-4101
Joseph Henry Hobbs, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 843-497-5929 Fax: 843-839-4448
Mr. Michael D Watson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 113 Kite Cir Ne, Bolivia, NC 28422 Phone: 907-885-7779
Erica Paige Keen, Physician Assistant Medicare: Medicare Enrolled Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-721-1000
Lisa K Paitsel, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-721-1000

Mrs Lani Ellis, PA-C - Medicare Physician Assistant in Bolivia, NC