Vicki L Ellison, RN is a
Registered Nurse based in Tamaroa, Illinois. Vicki L Ellison is licensed to practice in Illinois (license number 041480234) and her current practice location is
32 N Locust St, Tamaroa, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 357-0023.
NPI number for Vicki L Ellison is 1689390965 and her current mailing address is 32 N Locust St, Tamaroa, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689390965.
Provider's Profile
Full Name | Vicki L Ellison |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 32 N Locust St, Tamaroa, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689390965
- Provider Enumeration Date: 10/18/2022
- Last Update Date: 10/18/2022
Medical Identifiers
Medical identifiers for Vicki L Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689390965 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 041480234 (Illinois) | 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. Vicki L Ellison 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 Address | Practice Location Address |
Vicki L Ellison, RN 32 N Locust St, Tamaroa, IL 62888-4206 Ph: (618) 357-0023 | Vicki L Ellison, RN 32 N Locust St, Tamaroa, IL 62888-4206 Ph: (618) 357-0023 |
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