Alice J Ellison, FNP-C is a medicare enrolled "Preventive Medicine - Public Health & General Preventive Medicine" physician in Minnetonka, Minnesota. She graduated from medical school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
9900 Bren Rd E, Minnetonka, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(800) 328-5979.
Alice J Ellison is licensed to practice in Missouri (license number 2023045679) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1114780228.
Physician's Profile
| Full Name | Alice J Ellison |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 9900 Bren Rd E, Minnetonka, Minnesota |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Alice J Ellison graduated from medical school in 2023
NPI Data:
- NPI Number: 1114780228
- Provider Enumeration Date: 02/01/2024
- Last Update Date: 02/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 3971019597
- Enrollment ID: I20250721004028
Medical Identifiers
Medical identifiers for Alice J Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1114780228 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 2023045679 (Missouri) | 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. Alice J 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 |
Alice J Ellison, FNP-C 9900 Bren Rd E, Minnetonka, MN 55343-9664 Ph: (800) 328-5979 | Alice J Ellison, FNP-C 9900 Bren Rd E, Minnetonka, MN 55343-9664 Ph: (800) 328-5979 |
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