Mrs Tasha Ellsberry, APRN, FNP, PMHNP-BC in Jacksonville, FL

Mrs Tasha Ellsberry, APRN, FNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Jacksonville, Florida. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mental Health Resource Center Inc and her current practice location is 13453 N Main St Ste 104, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 773-4390.

Mrs Tasha Ellsberry is licensed to practice in Florida (license number 9344392) 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 1013466697.

Contact Information

	Mrs Tasha Ellsberry, APRN, FNP, PMHNP-BC
	13453 N Main St Ste 104, Jacksonville, FL 32218-2773
	(904) 773-4390
	(941) 641-7089

Map and Direction

Provider's Profile

Full Name	Mrs Tasha Ellsberry
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	13453 N Main St Ste 104, Jacksonville, Florida
Accepts Medicare Assignments	Yes. 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 Tasha Ellsberry graduated from nursing school in 2021

NPI Data:

NPI Number: 1013466697
Provider Enumeration Date: 09/24/2016
Last Update Date: 03/21/2024

Medicare PECOS Information:

PECOS PAC ID: 5698168375
Enrollment ID: I20220201000857

Medical Identifiers

Medical identifiers for Mrs Tasha Ellsberry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013466697	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WG0000X	Registered Nurse - General Practice	9344392 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	ARNP9344392 (Florida)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	9344392 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mental Health Resource Center Inc	2567446982	15

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 Tasha Ellsberry allows following entities to bill medicare on her behalf.

Entity Name	Mental Health Resource Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851407365 PECOS PAC ID: 2567446982 Enrollment ID: O20040615000219

Entity Name	Discovery Mental Health Services Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023697745 PECOS PAC ID: 7113310939 Enrollment ID: O20220131001070

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 Tasha Ellsberry 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 Tasha Ellsberry, APRN, FNP, PMHNP-BC 3333 W 20th St, Jacksonville, FL 32254-1703 Ph: (904) 930-9215	Mrs Tasha Ellsberry, APRN, FNP, PMHNP-BC 13453 N Main St Ste 104, Jacksonville, FL 32218-2773 Ph: (904) 773-4390

Reviews and Comments

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Mrs Tasha Ellsberry, APRN, FNP, PMHNP-BC - Medicare Nurse Practitioner in Jacksonville, FL