Dr Percita Loren Ellis, MD is a medicare enrolled "Pediatrics" physician in Lexington, Virginia. Her current practice location is
6 Grouse Run Rd, Lexington, Virginia. You can reach out to her office (for appointments etc.) via phone at
(540) 463-1006.
Dr Percita Loren Ellis is licensed to practice in Virginia (license number 0101231232) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962477281.
Physician's Profile
Full Name | Dr Percita Loren Ellis |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 6 Grouse Run Rd, Lexington, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962477281
- Provider Enumeration Date: 02/21/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8426335068
- Enrollment ID: I20250115004000
Medical Identifiers
Medical identifiers for Dr Percita Loren Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962477281 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 0101231232 (Virginia) | Primary |
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 Percita Loren Ellis allows following entities to bill medicare on her behalf.
Entity Name | Piedmont Access To Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649240698 PECOS PAC ID: 3476512427 Enrollment ID: O20050304000592 |
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Entity Name | Piedmont Access To Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235677634 PECOS PAC ID: 3476512427 Enrollment ID: O20170920001334 |
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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 Percita Loren Ellis 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 |
Dr Percita Loren Ellis, MD 6 Grouse Run Rd, Lexington, VA 24450-2252 Ph: (540) 463-1006 | Dr Percita Loren Ellis, MD 6 Grouse Run Rd, Lexington, VA 24450-2252 Ph: (540) 463-1006 |
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