Mary Ellis, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Valley, Nebraska. Her current practice location is
223 E Condron St, Valley, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 517-7646.
Mary Ellis is licensed to practice in Nebraska (license number 113044) 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 1790105948.
Physician's Profile
| Full Name | Mary Ellis |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 223 E Condron St, Valley, Nebraska |
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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: 1790105948
- Provider Enumeration Date: 04/25/2014
- Last Update Date: 02/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 6204262363
- Enrollment ID: I20200208000074
Medical Identifiers
Medical identifiers for Mary Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790105948 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 113044 (Nebraska) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 113044 (Nebraska) | Primary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 55813 (Nebraska) | Secondary |
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. Mary Ellis allows following entities to bill medicare on her behalf.
| Entity Name | Family Enrichment Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164582169 PECOS PAC ID: 5698728509 Enrollment ID: O20050302000740 |
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| Entity Name | Methodist Fremont Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235618216 PECOS PAC ID: 7911258520 Enrollment ID: O20181017000110 |
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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. Mary 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 |
Mary Ellis, APRN 223 E Condron St, Valley, NE 68064-3401 Ph: (402) 871-6010 | Mary Ellis, APRN 223 E Condron St, Valley, NE 68064-3401 Ph: (402) 517-7646 |
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