Mary Ann Ellis, EDS is a
Psychologist - School based in Dunnellon, Florida. Mary Ann Ellis is licensed to practice in Florida (license number SS 830) and her current practice location is
20114 E Pennsylvania Ave, Dunnellon, Florida. She can be reached at her office (for appointments etc.) via phone at
(352) 465-2444.
NPI number for Mary Ann Ellis is 1295042869 and her current mailing address is 20114 E Pennsylvania Ave, Dunnellon, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295042869.
Healthcare Provider's Profile
Full Name | Mary Ann Ellis |
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Gender | Female |
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Speciality | Psychologist - School |
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Location | 20114 E Pennsylvania Ave, Dunnellon, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295042869
- Provider Enumeration Date: 09/02/2010
- Last Update Date: 04/08/2020
Medical Identifiers
Medical identifiers for Mary Ann Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295042869 | NPI | - | NPPES |
1639229362 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | SS 830 (Florida) | Primary |
101YM0800X | Counselor - Mental Health | SS830 (Florida) | 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. Mary Ann 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 |
Mary Ann Ellis, EDS 20114 E Pennsylvania Ave, Dunnellon, FL 34432-6033 Ph: (352) 465-2444 | Mary Ann Ellis, EDS 20114 E Pennsylvania Ave, Dunnellon, FL 34432-6033 Ph: (352) 465-2444 |
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