Tina Marlene Ellis, PA in North Charleston, SC - Medicare Physician Assistant

Tina Marlene Ellis, PA is a medicare enrolled "Physician Assistant" in North Charleston, South Carolina. She went to Medical University Of South Carolina College Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Coastal Carolina Multispecialty Associates Llc and her current practice location is 4969 Centre Pointe Dr, Ste 100, North Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 853-0250.

Tina Marlene Ellis is licensed to practice in South Carolina (license number 2889) 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 1053648436.

Contact Information

	Tina Marlene Ellis, PA
	4969 Centre Pointe Dr, Ste 100, North Charleston, SC 29418-6952
	(843) 853-0250
	(843) 606-8103

Map and Direction

Provider's Profile

Full Name	Tina Marlene Ellis
Gender	Female
Speciality	Physician Assistant
Experience	15 Years
Location	4969 Centre Pointe Dr, North Charleston, South Carolina
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:

Tina Marlene Ellis attended and graduated from Medical University Of South Carolina College Of Medicine in 2009

NPI Data:

NPI Number: 1053648436
Provider Enumeration Date: 11/05/2009
Last Update Date: 01/27/2022

Medicare PECOS Information:

PECOS PAC ID: 8628117090
Enrollment ID: I20180227002008

Medical Identifiers

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

Identifier	Type	State	Issuer
1053648436	NPI	-	NPPES
4750017	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	2889 (South Carolina)	Secondary
363A00000X	Physician Assistant	2889 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Roper Hospital	Charleston, SC	Hospital
Bon Secours-st Francis Xavier Hospital	Charleston, SC	Hospital
Trident Medical Center	Charleston, SC	Hospital
Roper St Francis Hospital-berkely Inc	Moncks corner, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Coastal Carolina Multispecialty Associates Llc	9931105046	48

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. Tina Marlene 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
Tina Marlene Ellis, PA 4969 Centre Pointe Dr, Ste 100, North Charleston, SC 29418-6952 Ph: (843) 853-0250	Tina Marlene Ellis, PA 4969 Centre Pointe Dr, Ste 100, North Charleston, SC 29418-6952 Ph: (843) 853-0250

Reviews and Comments

Physician Assistant Nurses in North Charleston, SC

Ms. Grace Elizabeth Howie, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2890 Tricom St, North Charleston, SC 29406 Phone: 843-797-6600 Fax: 843-820-1440
Abigail Louise Marx, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2811 Tricom St, North Charleston, SC 29406 Phone: 843-737-0437
Jordyn Kachmar, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2575 Elms Center Rd Ste 200, North Charleston, SC 29406 Phone: 843-724-1950
Mark H Sink, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 8740 Rivers Ave, North Charleston, SC 29406 Phone: 843-572-5990
Alison Renee Hickey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8091 Rivers Ave, North Charleston, SC 29406 Phone: 843-572-7000 Fax: 843-572-4070
Destiney Malpass, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9295 Medical Plaza Dr Ste A-b, North Charleston, SC 29406 Phone: 843-797-3960
Kimberly A Kay, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2880 Tricom St, North Charleston, SC 29406 Phone: 843-797-5050 Fax: 843-797-3633

Tina Marlene Ellis, PA - Medicare Physician Assistant in North Charleston, SC