Summerlyn Ellis, in Redmond, OR - Medicare Nurse Practitioner

Summerlyn Ellis, is a medicare enrolled "Nurse Practitioner - Family" in Redmond, Oregon. Her current practice location is 1020 Sw Indian Ave, Redmond, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 923-6024.

Summerlyn Ellis is licensed to practice in Oregon (license number 10022072) 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 1689439341.

Contact Information

	Summerlyn Ellis,
	1020 Sw Indian Ave, Redmond, OR 97756-3037
	(541) 923-6024
	Not Available

Map and Direction

Provider's Profile

Full Name	Summerlyn Ellis
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1020 Sw Indian Ave, Redmond, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689439341
Provider Enumeration Date: 02/20/2024
Last Update Date: 02/20/2024

Medicare PECOS Information:

PECOS PAC ID: 7810338589
Enrollment ID: I20240513000575

Medical Identifiers

Medical identifiers for Summerlyn Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689439341	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	10022072 (Oregon)	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. Summerlyn Ellis allows following entities to bill medicare on her behalf.

Entity Name	Advanced Pain Solutions Of Oregon Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982323259 PECOS PAC ID: 8123494242 Enrollment ID: O20221014000810

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. Summerlyn 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
Summerlyn Ellis, 1020 Sw Indian Ave, Redmond, OR 97756-3037 Ph: () -	Summerlyn Ellis, 1020 Sw Indian Ave, Redmond, OR 97756-3037 Ph: (541) 923-6024

Reviews and Comments

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Lorelei Mcmillian, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1245 Nw 4th St Ste 201, Redmond, OR 97756 Phone: 541-323-4545 Fax: 541-323-4546
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Summerlyn Ellis, - Medicare Nurse Practitioner in Redmond, OR