Mark Alan Ellett, AGACNP in Idaho Falls, ID - Medicare Nurse Practitioner

Mark Alan Ellett, AGACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Idaho Falls, Idaho. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Optimum Health Pllc and his current practice location is 3100 Channing Way, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 604-1715.

Mark Alan Ellett is licensed to practice in Idaho (license number 69540) 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 1295402089.

Contact Information

	Mark Alan Ellett, AGACNP
	3100 Channing Way, Idaho Falls, ID 83404-7533
	(208) 604-1715
	Not Available

Map and Direction

Provider's Profile

Full Name	Mark Alan Ellett
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	3100 Channing Way, Idaho Falls, Idaho
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:

Mark Alan Ellett graduated from nursing school in 2020

NPI Data:

NPI Number: 1295402089
Provider Enumeration Date: 08/27/2021
Last Update Date: 08/30/2021

Medicare PECOS Information:

PECOS PAC ID: 9537567235
Enrollment ID: I20211011002351

Medical Identifiers

Medical identifiers for Mark Alan Ellett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295402089	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	45067 (Idaho)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	69540 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Portneuf Medical Center	Pocatello, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Optimum Health Pllc	1153656590	8

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. Mark Alan Ellett allows following entities to bill medicare on his behalf.

Entity Name	Utah Regional Hospitalists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740715507 PECOS PAC ID: 4789807165 Enrollment ID: O20170811001682

Entity Name	Optimum Health Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306401575 PECOS PAC ID: 1153656590 Enrollment ID: O20190708002681

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. Mark Alan Ellett 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
Mark Alan Ellett, AGACNP 3817 Nora St, Pocatello, ID 83204-2023 Ph: (208) 604-1715	Mark Alan Ellett, AGACNP 3100 Channing Way, Idaho Falls, ID 83404-7533 Ph: (208) 604-1715

Reviews and Comments

Nurse Practitioner Nurses in Idaho Falls, ID

Mr. Morgan Tius Garriott, MSN, APRN, CNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2325 Coronado St, Idaho Falls, ID 83404 Phone: 208-542-7021 Fax: 208-542-7371
Mrs. Molly Susan Phillipp, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2065 E 17th St, Suite D, Idaho Falls, ID 83404 Phone: 208-522-0747 Fax: 208-522-9641
Sandy Palma, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2155 Rendezvous Rd, Idaho Falls, ID 83402 Phone: 773-386-1861
James D Brown, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3360 Washington Pkwy Ste 2, Idaho Falls, ID 83404 Phone: 208-932-7024 Fax: 208-904-4447
Christopher Leif Edwards, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2330 Coronado St, Idaho Falls, ID 83404 Phone: 208-542-7060
Mr. Nathan Eric Bradfield, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2280 E 25th St, Idaho Falls, ID 83404 Phone: 208-227-2100 Fax: 208-227-2362
Melisa Stacey Webb, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2725 Channing Way, Idaho Falls, ID 83404 Phone: 208-535-8448

Mark Alan Ellett, AGACNP - Medicare Nurse Practitioner in Idaho Falls, ID