Dr Ellena Lois Boddie, MD - Medicare Internal Medicine in Lake Mary, FL

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Dr Ellena Lois Boddie, MD is a medicare enrolled "Hospitalist" physician in Lake Mary, Florida. She went to Northwestern University Feinberg Medical School and graduated in 2000 and has 24 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Glutality Provider Group Pa, Ballout International Llc, Glutality Provider Group Pa, Glutality Provider Group Pa, Glutality Provider Group Pa, Glutality Provider Group Pa, Glutality Provider Group Pa, Glutality Provider Group Pa, Glutality Provider Group Pa, Glutality Provider Group Pa, Glutality Provider Group Pa, Glutality Provider Group Of California Pc, Glutality Provider Group Pa, Glutality Provider Group Pa and her current practice location is 525 Technology Park Ste 109, Lake Mary, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 647-2346.

Dr Ellena Lois Boddie is licensed to practice in Illinois (license number 036116967) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689673790.

Contact Information

Dr Ellena Lois Boddie, MD
525 Technology Park Ste 109,
Lake Mary, FL 32746-7107
(407) 647-2346
Not Available

Map and Direction




Physician's Profile

Full NameDr Ellena Lois Boddie
GenderFemale
SpecialityInternal Medicine
Experience24 Years
Location525 Technology Park Ste 109, Lake Mary, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ellena Lois Boddie attended and graduated from Northwestern University Feinberg Medical School in 2000
  NPI Data:
  • NPI Number: 1689673790
  • Provider Enumeration Date: 07/20/2005
  • Last Update Date: 03/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0840399515
  • Enrollment ID: I20070620000614

Medical Identifiers

Medical identifiers for Dr Ellena Lois Boddie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689673790NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 4301502442 (Michigan)Secondary
207R00000XInternal Medicine 13001A (Wyoming)Secondary
208M00000XHospitalist 036116967 (Illinois)Primary
207R00000XInternal Medicine TM2020-0627 (New Mexico)Secondary
207R00000XInternal Medicine 036116967 (Illinois)Secondary
207R00000XInternal Medicine M15405 (Idaho)Secondary
207R00000XInternal Medicine 00041414 (Alabama)Secondary
207R00000XInternal Medicine ME146842 (Florida)Secondary
207R00000XInternal Medicine 01057385A (Indiana)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Consulate Health Care Of Winter HavenWinter haven, FLNursing home
Luxe At Lutz Rehabilitation Center (the)Lutz, FLNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Glutality Provider Group Pa903254983725
Ballout International Llc589004525610
Glutality Provider Group Pa903254983725
Glutality Provider Group Pa903254983725
Glutality Provider Group Pa903254983725
Glutality Provider Group Pa903254983725
Glutality Provider Group Pa903254983725
Glutality Provider Group Pa903254983725
Glutality Provider Group Pa903254983725
Glutality Provider Group Pa903254983725
Glutality Provider Group Pa903254983725
Glutality Provider Group Of California Pc38709570463
Glutality Provider Group Pa903254983725
Glutality Provider Group Pa903254983725

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. Dr Ellena Lois Boddie allows following entities to bill medicare on her behalf.
Entity NameSound Physicians Of Illinois Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043598865
PECOS PAC ID: 1557533734
Enrollment ID: O20111012000272
Entity NameAdvance Inpatient Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265989875
PECOS PAC ID: 8022305697
Enrollment ID: O20160926000797
Entity NameHospitalist Medicine Physicians Of Illinois - Rockford, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790263325
PECOS PAC ID: 7315297785
Enrollment ID: O20180905002458
Entity NameGlutality Provider Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083256168
PECOS PAC ID: 9032549837
Enrollment ID: O20200914000241

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. Dr Ellena Lois Boddie 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 AddressPractice Location Address
Dr Ellena Lois Boddie, MD
525 Technology Park Ste 109,
Lake Mary, FL 32746-7107

Ph: (407) 647-2346		Dr Ellena Lois Boddie, MD
525 Technology Park Ste 109,
Lake Mary, FL 32746-7107

Ph: (407) 647-2346

Reviews and Comments


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Phone: 954-224-5121    
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Phone: 407-333-2273    Fax: 407-333-2273

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.