Tamara F Ellis, NURSE PRAACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in East Palatka, Florida. Her current practice location is
163 Putnam County Blvd, East Palatka, Florida. You can reach out to her office (for appointments etc.) via phone at
(386) 538-1285.
Tamara F Ellis is licensed to practice in Florida (license number APRN11010826) 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 1699385344.
Provider's Profile
Full Name | Tamara F Ellis |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 163 Putnam County Blvd, East Palatka, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1699385344
- Provider Enumeration Date: 08/07/2020
- Last Update Date: 06/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 8426430158
- Enrollment ID: I20220727004303
Medical Identifiers
Medical identifiers for Tamara F Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699385344 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | APRN11010826 (Florida) | Primary |
163W00000X | Registered Nurse | RN9233624 (Florida) | Secondary |
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. Tamara F 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 |
Tamara F Ellis, NURSE PRAACTITIONER 163 Putnam Co Blvd, P.o. Box 362, East Palatka, FL 32131-4006 Ph: (386) 538-1285 | Tamara F Ellis, NURSE PRAACTITIONER 163 Putnam County Blvd, East Palatka, FL 32131-6061 Ph: (386) 538-1285 |
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