Mrs Laura Ellis, FNP-BC - Medicare Nurse Practitioner in New York, NY

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Mrs Laura Ellis, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in New York, New York. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ucsf Medical Group Business Services, Ucsf Dept Of Surgery and her current practice location is 1425 Madison Avenue, Box 1273, New York, New York. You can reach out to her office (for appointments etc.) via phone at (650) 580-3624.

Mrs Laura Ellis is licensed to practice in New York (license number 33338633) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578904744.

Contact Information

Mrs Laura Ellis, FNP-BC
1425 Madison Avenue, Box 1273,
New York, NY 10029-6514
(650) 580-3624
Not Available

Map and Direction




Provider's Profile

Full NameMrs Laura Ellis
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location1425 Madison Avenue, Box 1273, New York, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Laura Ellis graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1578904744
  • Provider Enumeration Date: 07/16/2013
  • Last Update Date: 03/20/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 8224342845
  • Enrollment ID: I20180607003240

Medical Identifiers

Medical identifiers for Mrs Laura Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578904744NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 833556 (California)Secondary
163W00000XRegistered Nurse 26NR17280100 (New Jersey)Secondary
163W00000XRegistered Nurse RN657785 (Pennsylvania)Secondary
163W00000XRegistered Nurse 22 657365 (New York)Secondary
363LF0000XNurse Practitioner - Family 95001767 (California)Secondary
363LF0000XNurse Practitioner - Family 33338633 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ucsf Medical CenterSan francisco, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ucsf Medical Group Business Services37794978701092
Ucsf Dept Of Surgery7719886373156

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 Laura Ellis allows following entities to bill medicare on her behalf.
Entity NameRegents Of The University Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881763597
PECOS PAC ID: 4284547274
Enrollment ID: O20031106000389
Entity NameUcsf Pediatrics Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376614016
PECOS PAC ID: 6204749112
Enrollment ID: O20031106000823
Entity NameUniversity Of California San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861578973
PECOS PAC ID: 4486567229
Enrollment ID: O20031212000897
Entity NameUcsf Dept Of Surgery
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477627537
PECOS PAC ID: 7719886373
Enrollment ID: O20040102000839
Entity NameUcsf Medical Group Business Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477624104
PECOS PAC ID: 3779497870
Enrollment ID: O20040622001513

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 Laura 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 AddressPractice Location Address
Mrs Laura Ellis, FNP-BC
1425 Madison Avenue, Box 1273,
New York, NY 10029-6514

Ph: (650) 580-3624		Mrs Laura Ellis, FNP-BC
1425 Madison Avenue, Box 1273,
New York, NY 10029-6514

Ph: (650) 580-3624

Reviews and Comments


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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.

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