Gayle M Ellis, is a
Registered Nurse - Psychiatric/mental Health based in Madison, Wisconsin. Gayle M Ellis is licensed to practice in Wisconsin (license number ) and her current practice location is
700 Ray O Vac Dr, Suite 220, Madison, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 276-9191.
NPI number for Gayle M Ellis is 1295890259 and her current mailing address is 700 Ray O Vac Dr, Suite 220, Madison, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295890259.
Healthcare Provider's Profile
Full Name | Gayle M Ellis |
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Gender | Female |
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Speciality | Registered Nurse - Psychiatric/mental Health |
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Location | 700 Ray O Vac Dr, Madison, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295890259
- Provider Enumeration Date: 12/27/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Gayle M Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295890259 | NPI | - | NPPES |
3914300 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 2432-057 (Wisconsin) | Primary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1526-033 (Wisconsin) | Primary |
163WP0808X | Registered Nurse - Psychiatric/mental Health | (Wisconsin) | 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. Gayle M 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 |
Gayle M Ellis, 700 Ray O Vac Dr, Suite 220, Madison, WI 53711-2479 Ph: (608) 276-9191 | Gayle M Ellis, 700 Ray O Vac Dr, Suite 220, Madison, WI 53711-2479 Ph: (608) 276-9191 |
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