Alexis Ellstrom, PAC - Medicare Physician Assistant in Forest Park, IL

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Alexis Ellstrom, PAC is a medicare enrolled "Physician Assistant" in Forest Park, Illinois. Her current practice location is 8200 Roosevelt Rd, Forest Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (872) 231-3162.

Alexis Ellstrom is licensed to practice in Illinois (license number 085.007289) 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 1114560695.

Contact Information

Alexis Ellstrom, PAC
8200 Roosevelt Rd,
Forest Park, IL 60130-2528
(872) 231-3162
Not Available

Map and Direction




Provider's Profile

Full NameAlexis Ellstrom
GenderFemale
SpecialityPhysician Assistant
Location8200 Roosevelt Rd, Forest Park, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114560695
  • Provider Enumeration Date: 10/28/2019
  • Last Update Date: 10/07/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9830522259
  • Enrollment ID: I20191125002433

Medical Identifiers

Medical identifiers for Alexis Ellstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114560695NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 085.007289 (Illinois)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. Alexis Ellstrom 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
Alexis Ellstrom, PAC
Po Box 74008272,
Chicago, IL 60674-8272

Ph: (702) 899-0595		Alexis Ellstrom, PAC
8200 Roosevelt Rd,
Forest Park, IL 60130-2528

Ph: (872) 231-3162

Reviews and Comments


Physician Assistant Nurses in Forest Park, IL

Greeta Zorn Gulezian, ANP
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: Women's Health Center, 7339 W. Madison Ave, Forest Park, IL 60130
Phone: 708-386-2400    Fax: 708-366-7035
Mikaela Lynne Mcgrory, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 8200 W. Roosevelt Road, Forest Park, IL 60130
Phone: 708-488-9850    Fax: 708-488-9870

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.