Mrs Shaylise Ellis, FNP-C | |
1605 S 31st St, Temple, TX 76508-7451 | |
(254) 215-0100 | |
(254) 215-0636 |
Full Name | Mrs Shaylise Ellis |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 1605 S 31st St, Temple, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790278497 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP137200 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baylor Scott & White Pavilion - Temple | Temple, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Scott And White Clinic | 8123923604 | 2143 |
Entity Name | Scott & White Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
Mailing Address | Practice Location Address |
---|---|
Mrs Shaylise Ellis, FNP-C Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111 | Mrs Shaylise Ellis, FNP-C 1605 S 31st St, Temple, TX 76508-7451 Ph: (254) 215-0100 |
Jason Derek Bradshaw, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1901 S 1st St, Temple, TX 76504 Phone: 254-743-0714 | |
Ms. Misti Liden, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Clinite Grove Blvd Ste 130, Temple, TX 76502 Phone: 254-314-8699 | |
Rodney Duckett, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3605 Melrose Ln, Temple, TX 76502 Phone: 254-598-0240 | |
Kamia Rochelle Scroggins Fasheun, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Andrea Patterson, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Mrs. Milicent Cherisse Johnson, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 S 31st St, 4b Pediatric Gastroenterology Clinic, Temple, TX 76508 Phone: 254-724-2708 | |
Ms. Gina Marie Heiss Harris, RNC, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1901 Sw H K Dodgen Loop, Temple, TX 76502 Phone: 254-724-5437 |