Mrs Latoya Ellis, in Trenton, MI - Medicare Nurse Practitioner

Mrs Latoya Ellis, is a medicare enrolled "Nurse Practitioner" in Trenton, Michigan. Her current practice location is 5452 Fort St Ste 200, Trenton, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 642-2727.

Mrs Latoya Ellis is licensed to practice in Michigan (license number 4704233922) 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 1003465428.

Contact Information

	Mrs Latoya Ellis,
	5452 Fort St Ste 200, Trenton, MI 48183-4638
	(734) 642-2727
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Latoya Ellis
Gender	Female
Speciality	Nurse Practitioner
Location	5452 Fort St Ste 200, Trenton, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003465428
Provider Enumeration Date: 09/09/2019
Last Update Date: 11/14/2022

Medicare PECOS Information:

PECOS PAC ID: 6608284864
Enrollment ID: I20210428001161

Medical Identifiers

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

Identifier	Type	State	Issuer
1003465428	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704233922 (Michigan)	Secondary
363L00000X	Nurse Practitioner	4704233922 (Michigan)	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 Latoya Ellis allows following entities to bill medicare on her behalf.

Entity Name	Beaumont Medical Group- Specialty Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549

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 Latoya 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 Latoya Ellis, 1663 Savannah Ct, Ypsilanti, MI 48198-3681 Ph: () -	Mrs Latoya Ellis, 5452 Fort St Ste 200, Trenton, MI 48183-4638 Ph: (734) 642-2727

Reviews and Comments

Nurse Practitioner Nurses in Trenton, MI

Mr. Jerry Idiculla Chandy, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1675 Kingsway Ct Ste 1, Trenton, MI 48183 Phone: 734-676-8530
Elizabeth Ann Davis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5400 Fort St Ste 130, Trenton, MI 48183 Phone: 734-362-7100 Fax: 734-671-1768
Staci Damiani, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1675 Kingsway Ct, Trenton, MI 48183 Phone: 734-676-8530 Fax: 734-676-2319
Ms. Janet T Sohn, R.N. M.S. C.S. F.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5452 Fort St Ste 200, Trenton, MI 48183 Phone: 734-642-2727
Derek Poley, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5400 Fort St Ste 110, Trenton, MI 48183 Phone: 734-301-3125
Samreen Haroon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3645 West Rd, Trenton, MI 48183 Phone: 734-486-4200 Fax: 734-486-4202

Mrs Latoya Ellis, - Medicare Nurse Practitioner in Trenton, MI