Mrs Traci Eileen Evans-ellacott, CNP in Elyria, OH

Mrs Traci Eileen Evans-ellacott, CNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Elyria, Ohio. She graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Primary Care Practices Inc and her current practice location is 125 E Broad St, Suite 305, Elyria, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 414-9100.

Mrs Traci Eileen Evans-ellacott is licensed to practice in Ohio (license number NP-06543) 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 1588634976.

Contact Information

	Mrs Traci Eileen Evans-ellacott, CNP
	125 E Broad St, Suite 305, Elyria, OH 44035-6400
	(440) 414-9100
	(440) 322-3454

Map and Direction

Provider's Profile

Full Name	Mrs Traci Eileen Evans-ellacott
Gender	Female
Speciality	Nurse Practitioner
Experience	24 Years
Location	125 E Broad St, Elyria, Ohio
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 Traci Eileen Evans-ellacott graduated from nursing school in 2000

NPI Data:

NPI Number: 1588634976
Provider Enumeration Date: 01/26/2006
Last Update Date: 03/03/2011

Medicare PECOS Information:

PECOS PAC ID: 5597787663
Enrollment ID: I20060103000851

Medical Identifiers

Medical identifiers for Mrs Traci Eileen Evans-ellacott such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588634976	NPI	-	NPPES
500022799	Other		RAILROAD MEDICARE
000000342754	Other	OH	ANTHEM
2284004	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	NP-06543 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Hospitals - Elyria Medical Center	Elyria, OH	Hospital
Fisher-titus Hospital	Norwalk, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Primary Care Practices Inc	3072417534	930

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 Traci Eileen Evans-ellacott allows following entities to bill medicare on her behalf.

Entity Name	University Primary Care Practices Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767

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 Traci Eileen Evans-ellacott 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 Traci Eileen Evans-ellacott, CNP 29325 Health Campus Dr, Suite 3, Westlake, OH 44145-8201 Ph: (440) 414-9412	Mrs Traci Eileen Evans-ellacott, CNP 125 E Broad St, Suite 305, Elyria, OH 44035-6400 Ph: (440) 414-9100

Reviews and Comments

Nurse Practitioner Nurses in Elyria, OH

Bretzyl M Liscoe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-323-8515
Nicole Fatemeh Scavuzzo, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 Chestnut Commons Dr, Elyria, OH 44035 Phone: 440-406-8153 Fax: 440-406-8312
Mary Lauretta Gilchrist, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500
Ms. Amy M. King, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500
Amy M Kovalsky, RN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-329-7500
Mrs. Brenda J Life, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 E Broad St, Suite 305, Elyria, OH 44035 Phone: 440-326-4120 Fax: 440-322-3454
Teneisha Taquae Craighead, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 630 E River St, Elyria, OH 44035 Phone: 440-452-0740

Mrs Traci Eileen Evans-ellacott, CNP - Medicare Nurse Practitioner in Elyria, OH