Kezia Lynnette Ellison, MD in Hagerstown, MD

Kezia Lynnette Ellison, MD is a medicare enrolled "Family Medicine" physician in Hagerstown, Maryland. Her current practice location is 11110 Medical Campus Rd Ste 200, Hagerstown, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 790-9240.

Kezia Lynnette Ellison is licensed to practice in Maryland (license number D094743) 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 1407412232.

Contact Information

	Kezia Lynnette Ellison, MD
	11110 Medical Campus Rd Ste 200, Hagerstown, MD 21742-6797
	(301) 790-9240
	Not Available

Map and Direction

Physician's Profile

Full Name	Kezia Lynnette Ellison
Gender	Female
Speciality	Family Medicine
Location	11110 Medical Campus Rd Ste 200, Hagerstown, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407412232
Provider Enumeration Date: 05/16/2019
Last Update Date: 07/22/2022

Medicare PECOS Information:

PECOS PAC ID: 4284968108
Enrollment ID: I20221024000017

Medical Identifiers

Medical identifiers for Kezia Lynnette Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407412232	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	D094743 (Maryland)	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. Kezia Lynnette Ellison allows following entities to bill medicare on her behalf.

Entity Name	Privia Care Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164874426 PECOS PAC ID: 3274801139 Enrollment ID: O20170619000055

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. Kezia Lynnette 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
Kezia Lynnette Ellison, MD 11110 Medical Campus Rd Ste 200, Hagerstown, MD 21742-6797 Ph: (301) 790-9240	Kezia Lynnette Ellison, MD 11110 Medical Campus Rd Ste 200, Hagerstown, MD 21742-6797 Ph: (301) 790-9240

Reviews and Comments

Family Medicine Doctors in Hagerstown, MD

Judy Wang, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11116 Medical Campus Rd, Hagerstown, MD 21742 Phone: 301-790-8804
Dr. Kelli Alisa Strauss, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13620 Crayton Boulevard, Hagerstown, MD 21742 Phone: 240-313-9890 Fax: 240-313-9891
Dr. William Eugene Kutzera, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13424 Pennsylvania Ave, Suite 101, Hagerstown, MD 21742 Phone: 301-791-7900 Fax: 301-791-3686
Merih Dagli O'donoghue, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13620 Crayton Boulevard, Hagerstown, MD 21742 Phone: 240-313-9890 Fax: 240-313-9891
Dr. Patricia D. Scherer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 251 E Antietam St, Hagerstown, MD 21740 Phone: 301-790-8372 Fax: 301-790-8851
Padmini D Herath, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13424 Pennsylvania Ave, Suite 101, Hagerstown, MD 21742 Phone: 301-791-7900
Noor Maqsood Siddiqui, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 324 E Antietam St, Suite 305, Hagerstown, MD 21740 Phone: 301-791-2510 Fax: 301-739-7798

Kezia Lynnette Ellison, MD - Medicare Family Medicine in Hagerstown, MD