Yavonne L Ellis, LPN is a
Licensed Practical Nurse based in Grasonville, Maryland. Yavonne L Ellis is licensed to practice in Maryland (license number LP48536) and her current practice location is
619 Chester River Beach Rd, Grasonville, Maryland. She can be reached at her office (for appointments etc.) via phone at
(202) 391-4837.
NPI number for Yavonne L Ellis is 1083038137 and her current mailing address is 619 Chester River Beach Rd, Grasonville, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083038137.
Provider's Profile
Full Name | Yavonne L Ellis |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 619 Chester River Beach Rd, Grasonville, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083038137
- Provider Enumeration Date: 02/10/2014
- Last Update Date: 04/08/2014
Medical Identifiers
Medical identifiers for Yavonne L Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083038137 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | LP48536 (Maryland) | Primary |
164W00000X | Licensed Practical Nurse | LPN1006048 (District Of Columbia) | 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. Yavonne L 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 Address | Practice Location Address |
Yavonne L Ellis, LPN 619 Chester River Beach Rd, Grasonville, MD 21638 Ph: (202) 391-4837 | Yavonne L Ellis, LPN 619 Chester River Beach Rd, Grasonville, MD 21638 Ph: (202) 391-4837 |
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