Bethany Laquell Ellis, FNP in Hallandale Beach, FL

Bethany Laquell Ellis, FNP is a medicare enrolled "Nurse Practitioner - Family" in Hallandale Beach, Florida. Her current practice location is 1001 N Federal Hwy Ste 341, Hallandale Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (754) 444-9173.

Bethany Laquell Ellis is licensed to practice in Florida (license number 11007347) 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 1194349308.

Contact Information

	Bethany Laquell Ellis, FNP
	1001 N Federal Hwy Ste 341, Hallandale Beach, FL 33009-2404
	(754) 444-9173
	(786) 221-3179

Map and Direction

Provider's Profile

Full Name	Bethany Laquell Ellis
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1001 N Federal Hwy Ste 341, Hallandale Beach, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194349308
Provider Enumeration Date: 06/03/2020
Last Update Date: 09/22/2021

Medicare PECOS Information:

PECOS PAC ID: 3577973494
Enrollment ID: I20201104003079

Medical Identifiers

Medical identifiers for Bethany Laquell Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194349308	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11007347 (Florida)	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. Bethany Laquell Ellis allows following entities to bill medicare on her behalf.

Entity Name	Swallowing Diagnostics Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710954672 PECOS PAC ID: 0244261683 Enrollment ID: O20050825000807

Entity Name	Conciergenp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760096135 PECOS PAC ID: 9133539059 Enrollment ID: O20201104002574

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. Bethany Laquell 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
Bethany Laquell Ellis, FNP 1001 N Federal Hwy Ste 341, Hallandale Beach, FL 33009-2404 Ph: (754) 444-9173	Bethany Laquell Ellis, FNP 1001 N Federal Hwy Ste 341, Hallandale Beach, FL 33009-2404 Ph: (754) 444-9173

Reviews and Comments

Nurse Practitioner Nurses in Hallandale Beach, FL

Stephany Marie Diaz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Silks Run, Hallandale Beach, FL 33009 Phone: 305-760-1431
Guillermo Carabeo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 Golden Isles Dr Apt F4, Hallandale Beach, FL 33009 Phone: 786-587-5190
Dr. Ilyse M Rao, DC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 E Hallandale Beach Blvd, Suite 14, Hallandale Beach, FL 33009 Phone: 954-455-2030
Mrs. Alicia Jimenez, ARNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 W Pembroke Rd Ste 322, Hallandale Beach, FL 33009 Phone: 954-932-0299 Fax: 954-932-0298
Adis Nuvia Azahares Chirino, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2100 E Hallandale Beach Blvd Ste 402, Hallandale Beach, FL 33009 Phone: 754-202-2351
Tania Guerrier Castor, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 107 Ne 3rd St, Hallandale Beach, FL 33009 Phone: 754-294-4357 Fax: 754-764-0070
Ariel Amador Gonzalez, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 E Hallandale Beach Blvd Ste Qr, Hallandale Beach, FL 33009 Phone: 954-505-5009 Fax: 954-507-4486

Bethany Laquell Ellis, FNP - Medicare Nurse Practitioner in Hallandale Beach, FL