Justin Michael Ellison, in Chattanooga, TN - Medicare Nurse Practitioner

Justin Michael Ellison, is a medicare enrolled "Registered Nurse - Registered Nurse First Assistant" in Chattanooga, Tennessee. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Memorial Health Partners Foundation, Inc and his current practice location is 1949 Gunbarrel Rd Ste 206, Chattanooga, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 495-4349.

Justin Michael Ellison is licensed to practice in Tennessee (license number 31438) 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 1245688928.

Contact Information

	Justin Michael Ellison,
	1949 Gunbarrel Rd Ste 206, Chattanooga, TN 37421-7133
	(423) 495-4349
	(423) 495-4934

Map and Direction

Provider's Profile

Full Name	Justin Michael Ellison
Gender	Male
Speciality	Nurse Practitioner
Experience	8 Years
Location	1949 Gunbarrel Rd Ste 206, Chattanooga, Tennessee
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:

Justin Michael Ellison graduated from nursing school in 2016

NPI Data:

NPI Number: 1245688928
Provider Enumeration Date: 06/02/2016
Last Update Date: 08/10/2023

Medicare PECOS Information:

PECOS PAC ID: 3274820717
Enrollment ID: I20230713000380

Medical Identifiers

Medical identifiers for Justin Michael Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245688928	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	9344794 (Florida)	Secondary
163W00000X	Registered Nurse	196881 (Tennessee)	Secondary
363L00000X	Nurse Practitioner	N360677930 (Washington)	Secondary
363L00000X	Nurse Practitioner	60350 (New Mexico)	Secondary
363L00000X	Nurse Practitioner	31438 (Tennessee)	Secondary
163WR0006X	Registered Nurse - Registered Nurse First Assistant	31438 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Healthcare System, Inc	Chattanooga, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Memorial Health Partners Foundation, Inc	8022919570	303

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. Justin Michael Ellison allows following entities to bill medicare on his behalf.

Entity Name	Memorial Health Partners Foundation, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922053545 PECOS PAC ID: 8022919570 Enrollment ID: O20040116000823

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. Justin Michael Ellison 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
Justin Michael Ellison, 370 Oakley Dr, Apartment #1418, Nashville, TN 37211-6945 Ph: () -	Justin Michael Ellison, 1949 Gunbarrel Rd Ste 206, Chattanooga, TN 37421-7133 Ph: (423) 495-4349

Reviews and Comments

Registered Nurse Nurses in Chattanooga, TN

Jennifer Denise Kozlica, RN, MPH Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 540 Mccallie Ave, Suite 450, Chattanooga, TN 37402 Phone: 423-634-5831 Fax: 423-634-3139
Joanna Dena Swanson, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6055 Shallowford Rd, Chattanooga, TN 37421 Phone: 423-266-6751
Lizabeth D Haas, RN BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 921 East Third Street, Chattanooga, TN 37403 Phone: 423-209-8332
Beverly Kennedy, LPN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3074 Hickory Valley Rd, Chattanooga, TN 37421 Phone: 423-622-1551
Mrs. Tiffany Leatrice Kennerly, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1301 Riverfront Pkwy Ste 209, Chattanooga, TN 37402 Phone: 423-634-3124
Ms. Donna B Needham, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 921 E 3rd St, Chattanooga, TN 37403 Phone: 423-209-8233 Fax: 423-209-8241
Mr. Donald R. Potter, FNP-BC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1 Cameron Hill Cir, Chattanooga, TN 37402 Phone: 423-535-5565

Justin Michael Ellison, - Medicare Nurse Practitioner in Chattanooga, TN