Mrs Tricia-kay Ellersick-lopez, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Walnutport, Pennsylvania. 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 Family Care Centers Inc and her current practice location is
3899 Wood Dr, Walnutport, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 801-6255.
Mrs Tricia-kay Ellersick-lopez is licensed to practice in Pennsylvania (license number SP014274) 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 1376946970.
Provider's Profile
| Full Name | Mrs Tricia-kay Ellersick-lopez |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 3899 Wood Dr, Walnutport, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Tricia-kay Ellersick-lopez graduated from nursing school in 2014
NPI Data:
- NPI Number: 1376946970
- Provider Enumeration Date: 09/27/2014
- Last Update Date: 05/12/2017
Medicare PECOS Information:
- PECOS PAC ID: 6406171040
- Enrollment ID: I20150203000233
Medical Identifiers
Medical identifiers for Mrs Tricia-kay Ellersick-lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376946970 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | SP014274 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Family Care Centers Inc | 5395649347 | 212 |
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 Tricia-kay Ellersick-lopez allows following entities to bill medicare on her behalf.
| Entity Name | Family Care Centers Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669563037
PECOS PAC ID: 5395649347
Enrollment ID: O20031121000497 |
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| Entity Name | Schuylkill Health System Medical Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588603567
PECOS PAC ID: 0840285532
Enrollment ID: O20040420001197 |
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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 Tricia-kay Ellersick-lopez 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 |
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Mrs Tricia-kay Ellersick-lopez, CRNP
3899 Wood Drive,
Walnutport, PA 18088
Ph: (570) 801-6255 | Mrs Tricia-kay Ellersick-lopez, CRNP
3899 Wood Dr,
Walnutport, PA 18088-9414
Ph: (570) 801-6255 |
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