Tia Ellis, - Registered Nurse in Clearlake, CA

Tia Ellis, is a Registered Nurse based in Clearlake, California. Tia Ellis is licensed to practice in California (license number 95252230) and her current practice location is 15850 42nd Ave, Clearlake, California. She can be reached at her office (for appointments etc.) via phone at (707) 349-8126.

NPI number for Tia Ellis is 1811652498 and her current mailing address is 15850 42nd Ave, Clearlake, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811652498.

Contact Information

Tia Ellis,
15850 42nd Ave,
Clearlake, CA 95422-9483
(707) 349-8126
Not Available

Map and Direction




Provider's Profile

Full NameTia Ellis
GenderFemale
SpecialityRegistered Nurse
Location15850 42nd Ave, Clearlake, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1811652498
  • Provider Enumeration Date: 11/08/2021
  • Last Update Date: 11/08/2021

Medical Identifiers

Medical identifiers for Tia Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811652498NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 95252230 (California)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. Tia 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 AddressPractice Location Address
Tia Ellis,
15850 42nd Ave,
Clearlake, CA 95422-9483

Ph: (707) 349-8126
Tia Ellis,
15850 42nd Ave,
Clearlake, CA 95422-9483

Ph: (707) 349-8126

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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