Alisha Ellison, in Northridge, CA - Medicare Nurse Practitioner

Alisha Ellison, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Northridge, California. Her current practice location is 17075 Devonshire St Ste 204, Northridge, California. You can reach out to her office (for appointments etc.) via phone at (818) 632-3547.

Alisha Ellison is licensed to practice in California (license number 95028315) 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 1750061347.

Contact Information

	Alisha Ellison,
	17075 Devonshire St Ste 204, Northridge, CA 91325-5408
	(818) 632-3547
	Not Available

Map and Direction

Provider's Profile

Full Name	Alisha Ellison
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	17075 Devonshire St Ste 204, Northridge, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750061347
Provider Enumeration Date: 07/19/2023
Last Update Date: 02/06/2025

Medicare PECOS Information:

PECOS PAC ID: 8729509989
Enrollment ID: I20250305001060

Medical Identifiers

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

Identifier	Type	State	Issuer
1750061347	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95028315 (California)	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. Alisha Ellison allows following entities to bill medicare on her behalf.

Entity Name	Unicare Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265854061 PECOS PAC ID: 8426369067 Enrollment ID: O20150623001589

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. Alisha 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
Alisha Ellison, 3610 Glenridge Dr, Sherman Oaks, CA 91423-4639 Ph: (818) 632-3547	Alisha Ellison, 17075 Devonshire St Ste 204, Northridge, CA 91325-5408 Ph: (818) 632-3547

Reviews and Comments

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Alisha Ellison, - Medicare Nurse Practitioner in Northridge, CA