Mrs Kyndra Lenee Ellis, RN, NNP in Stockbridge, GA

Mrs Kyndra Lenee Ellis, RN, NNP is a medicare enrolled "Nurse Practitioner - Neonatal" in Stockbridge, Georgia. Her current practice location is 443 Gresham Dr, Stockbridge, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 756-1465.

Mrs Kyndra Lenee Ellis is licensed to practice in Georgia (license number RN154735) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043477078.

Contact Information

	Mrs Kyndra Lenee Ellis, RN, NNP
	443 Gresham Dr, Stockbridge, GA 30281-7716
	(678) 756-1465
	(678) 756-1465

Map and Direction

Provider's Profile

Full Name	Mrs Kyndra Lenee Ellis
Gender	Female
Speciality	Nurse Practitioner - Neonatal
Location	443 Gresham Dr, Stockbridge, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043477078
Provider Enumeration Date: 05/19/2008
Last Update Date: 10/31/2016

Medicare PECOS Information:

PECOS PAC ID: 1254611551
Enrollment ID: I20161202000504

Medical Identifiers

Medical identifiers for Mrs Kyndra Lenee Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043477078	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	154735 (Georgia)	Secondary
363LN0000X	Nurse Practitioner - Neonatal	RN154735 (Georgia)	Primary

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 Kyndra Lenee Ellis allows following entities to bill medicare on her behalf.

Entity Name	Floyd Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992814586 PECOS PAC ID: 6406852375 Enrollment ID: O20061017000279

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 Kyndra Lenee Ellis 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 Kyndra Lenee Ellis, RN, NNP 443 Gresham Dr, Stockbridge, GA 30281-7716 Ph: (678) 756-1465	Mrs Kyndra Lenee Ellis, RN, NNP 443 Gresham Dr, Stockbridge, GA 30281-7716 Ph: (678) 756-1465

Reviews and Comments

Nurse Practitioner Nurses in Stockbridge, GA

Casey R. Black, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Eagle Spring Dr, Stockbridge, GA 30281 Phone: 770-213-3366 Fax: 404-962-6943
Ms. Eleasha R Gray, C-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 North Park Trail, Stockbridge, GA 30281 Phone: 770-506-1800 Fax: 770-389-5947
Jeanine Clark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 175 Medical Blvd, Stockbridge, GA 30281 Phone: 239-443-8018
Shanae Mapp, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 831 Fairways Ct, Stockbridge, GA 30281 Phone: 770-389-1925
Janise Roebuck, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281 Phone: 770-389-3855
Sandra Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 Eagles Landing Pkwy # 210, Stockbridge, GA 30281 Phone: 770-668-3363
Mrs. Amanda J Raynor, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1045 Southcrest Drive, Suite 110, Stockbridge, GA 30281 Phone: 770-507-2212 Fax: 770-507-2213

Mrs Kyndra Lenee Ellis, RN, NNP - Medicare Nurse Practitioner in Stockbridge, GA