Susan Ellis, PMHNP in Roseburg, OR - Medicare Nurse Practitioner

Susan Ellis, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Roseburg, Oregon. She went to University Of Arizona College Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Centennial Medical Group East Llc and her current practice location is 1937 W Harvard Ave, Roseburg, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 677-7200.

Susan Ellis is licensed to practice in Oregon (license number 202114835NP-PP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750706800.

Contact Information

	Susan Ellis, PMHNP
	1937 W Harvard Ave, Roseburg, OR 97471-2720
	(541) 677-7200
	(541) 229-3309

Map and Direction

Provider's Profile

Full Name	Susan Ellis
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	1937 W Harvard Ave, Roseburg, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Susan Ellis attended and graduated from University Of Arizona College Of Medicine in 2016

NPI Data:

NPI Number: 1750706800
Provider Enumeration Date: 02/26/2014
Last Update Date: 12/28/2021

Medicare PECOS Information:

PECOS PAC ID: 5294954525
Enrollment ID: I20220106000139

Medical Identifiers

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

Identifier	Type	State	Issuer
1750706800	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	202114835NP-PP (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Medical Center	Roseburg, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Centennial Medical Group East Llc	9234397878	55

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. Susan Ellis allows following entities to bill medicare on her behalf.

Entity Name	Centennial Medical Group East Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134436637 PECOS PAC ID: 9234397878 Enrollment ID: O20120228000510

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. Susan 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
Susan Ellis, PMHNP 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 Ph: (541) 677-7200	Susan Ellis, PMHNP 1937 W Harvard Ave, Roseburg, OR 97471-2720 Ph: (541) 677-7200

Reviews and Comments

Nurse Practitioner Nurses in Roseburg, OR

Ian Andrew Thomas, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2460 Nw Stewart Pkwy Ste 100, Roseburg, OR 97471 Phone: 541-229-2663
Ms. Jo Ann G. Berenbach, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Building 2 Mhc, Roseburg, OR 97470 Phone: 541-440-1000 Fax: 541-440-1356
Charlene Davis, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471 Phone: 541-677-7200 Fax: 541-229-3309
Carol Lynn Collins, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-440-1000
Sherri Twedt, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-440-1000
Sunny L May, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2460 Nw Stewart Pkwy, Suite 240, Roseburg, OR 97471 Phone: 541-677-4427 Fax: 541-677-6522
Mr. Donald L Bons, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 525 W Umpqua St, Roseburg, OR 97471 Phone: 541-464-7100

Susan Ellis, PMHNP - Medicare Nurse Practitioner in Roseburg, OR