Mr Robert Michael Ellis, NP in Gilbert, AZ - Medicare Nurse Practitioner

Mr Robert Michael Ellis, NP is a medicare enrolled "Nurse Practitioner - Family" in Gilbert, Arizona. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Banner Cancer Center Specialists Llc and his current practice location is 2946 E Banner Gateway Drive, Gilbert, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 256-6444.

Mr Robert Michael Ellis is licensed to practice in Arizona (license number AP7834) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902284599.

Contact Information

	Mr Robert Michael Ellis, NP
	2946 E Banner Gateway Drive, Gilbert, AZ 85234
	(480) 256-6444
	(480) 256-3682

Map and Direction

Provider's Profile

Full Name	Mr Robert Michael Ellis
Gender	Male
Speciality	Nurse Practitioner
Experience	9 Years
Location	2946 E Banner Gateway Drive, Gilbert, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Robert Michael Ellis graduated from nursing school in 2015

NPI Data:

NPI Number: 1902284599
Provider Enumeration Date: 05/14/2015
Last Update Date: 09/22/2020

Medicare PECOS Information:

PECOS PAC ID: 6608183637
Enrollment ID: I20150923001599

Medical Identifiers

Medical identifiers for Mr Robert Michael Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902284599	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP7834 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Banner Gateway Medical Center	Gilbert, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Banner Cancer Center Specialists Llc	6103097779	261

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. Mr Robert Michael Ellis allows following entities to bill medicare on his behalf.

Entity Name	Heritage Technologies Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093764938 PECOS PAC ID: 5193628485 Enrollment ID: O20040526000631

Entity Name	Fountains Family Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104004183 PECOS PAC ID: 4880608710 Enrollment ID: O20060131000427

Entity Name	Banner Cancer Center Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518253152 PECOS PAC ID: 6103097779 Enrollment ID: O20110913000224

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. Mr Robert Michael 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
Mr Robert Michael Ellis, NP 2940 E Banner Gateway Drive, Gilbert, AZ 85234 Ph: (480) 256-6444	Mr Robert Michael Ellis, NP 2946 E Banner Gateway Drive, Gilbert, AZ 85234 Ph: (480) 256-6444

Reviews and Comments

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Mrs. Dana M. Rodriguez, N.P., PHD Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6285 S Higley Rd, Gilbert, AZ 85298 Phone: 480-460-4949 Fax: 480-460-5858
Jenny Littrell, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3686 S Rome St, Gilbert, AZ 85297 Phone: 480-890-7705 Fax: 480-398-8095
Stephanie Streit, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4766 E Queen Creek Rd, Gilbert, AZ 85297 Phone: 855-925-4733

Mr Robert Michael Ellis, NP - Medicare Nurse Practitioner in Gilbert, AZ