Ms Deborah R Ellis, RN NP | |
11201 Benton St, Loma Linda, CA 92357-1000 | |
(909) 583-6189 | |
Not Available |
Full Name | Ms Deborah R Ellis |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 23 Years |
Location | 11201 Benton St, Loma Linda, California |
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 |
---|---|---|---|
1427098441 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN519425 (California) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | NP13079 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mental Health Systems, Inc. | 8628019320 | 25 |
Entity Name | Mental Health Systems, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760431670 PECOS PAC ID: 8628019320 Enrollment ID: O20050512000474 |
Entity Name | Senior Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629253505 PECOS PAC ID: 0446339469 Enrollment ID: O20080501000744 |
Entity Name | Exodus Recovery Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245441906 PECOS PAC ID: 2668467341 Enrollment ID: O20100107000614 |
Mailing Address | Practice Location Address |
---|---|
Ms Deborah R Ellis, RN NP Po Box 609001, San Diego, CA 92160-9001 Ph: (619) 528-4600 | Ms Deborah R Ellis, RN NP 11201 Benton St, Loma Linda, CA 92357-1000 Ph: (909) 583-6189 |
Holly Cornejo, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Mrs. Kenya Neoko Singleton, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton Street, Loma Linda, CA 92357 Phone: 909-825-7084 Fax: 909-777-3874 | |
Miss Christine Eunice Kurunathan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11034 Veach St, Loma Linda, CA 92354 Phone: 909-825-7084 Fax: 909-777-3291 | |
Krista Smith, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Cecille Bernad Ubbaonu, MSN, RN, AG-ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11285 Mountain View Ave, 40, Loma Linda, CA 92354 Phone: 909-558-5844 Fax: 909-558-7873 | |
Kristina Pulliam Markey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson Strreet, Loma Linda, CA 92354 Phone: 909-558-5967 | |
Lauren Trajano, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8000 |