Patricia June Ellis, APRN, PHD is a
Nurse Practitioner based in Mondamin, Iowa. Patricia June Ellis is licensed to practice in Iowa (license number B128724) and her current practice location is
1765 Golden Pl, Mondamin, Iowa. She can be reached at her office (for appointments etc.) via phone at
(402) 713-7106.
NPI number for Patricia June Ellis is 1265798862 and her current mailing address is 1765 Golden Pl, Mondamin, Iowa. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265798862.
Provider's Profile
Full Name | Patricia June Ellis |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 1765 Golden Pl, Mondamin, Iowa |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265798862
- Provider Enumeration Date: 04/09/2012
- Last Update Date: 04/09/2012
Medical Identifiers
Medical identifiers for Patricia June Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265798862 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | B128724 (Iowa) | Primary |
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. Patricia June Ellis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Patricia June Ellis, APRN, PHD 1765 Golden Pl, Mondamin, IA 51557-4054 Ph: (402) 713-7106 | Patricia June Ellis, APRN, PHD 1765 Golden Pl, Mondamin, IA 51557-4054 Ph: (402) 713-7106 |
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