Travis O Ellis, in Charleston, WV - Medicare Certified Registered Nurse Anesthetist (crna)

Travis O Ellis, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Charleston, West Virginia. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Logan Regional Anesthesia Services, Llc and his current practice location is 3200 Maccorkle Ave Se, Charleston, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 388-5503.

Travis O Ellis is licensed to practice in West Virginia (license number 64717) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1598388043.

Contact Information

	Travis O Ellis,
	3200 Maccorkle Ave Se, Charleston, WV 25304-1227
	(304) 388-5503
	Not Available

Map and Direction

Provider's Profile

Full Name	Travis O Ellis
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	4 Years
Location	3200 Maccorkle Ave Se, Charleston, West Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Travis O Ellis graduated from nursing school in 2020

NPI Data:

NPI Number: 1598388043
Provider Enumeration Date: 05/19/2020
Last Update Date: 05/19/2020

Medicare PECOS Information:

PECOS PAC ID: 6305256025
Enrollment ID: I20201109003163

Medical Identifiers

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

Identifier	Type	State	Issuer
1598388043	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	64717 (West Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Logan Regional Medical Center	Logan, WV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Logan Regional Anesthesia Services, Llc	4183097892	9

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. Travis O Ellis allows following entities to bill medicare on his behalf.

Entity Name	Charleston Area Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426

Entity Name	Logan Regional Anesthesia Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033838727 PECOS PAC ID: 4183097892 Enrollment ID: O20230228001826

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. Travis O 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
Travis O Ellis, 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 Ph: (304) 388-5503	Travis O Ellis, 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 Ph: (304) 388-5503

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Charleston, WV

Sandra R Miles, CRNA, RN, BSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 Morris St, Charleston, WV 25301 Phone: 304-388-5432
Mrs. Hope Halstead Webb, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Pennsylvania Ave, Charleston, WV 25302 Phone: 304-388-2470
Victoria J Kitts, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3200 Mccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-9556 Fax: 304-388-9582
Meg Adair Jackson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave S. E., Charleston, WV 25304 Phone: 304-388-9556
Tiffany D. Dutton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Dept. Of Surgery, Charleston, WV 25304 Phone: 304-388-5503 Fax: 304-388-9852
Jennifer D Valdez, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-5432
Christopher S Mullins, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-688-0228

Travis O Ellis, - Medicare Certified Registered Nurse Anesthetist (crna) in Charleston, WV