Bonnie Elizabeth Ellzey, FNP-C - Medicare Nurse Practitioner in Southaven, MS

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Bonnie Elizabeth Ellzey, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Southaven, Mississippi. Her current practice location is 201 Stateline Rd W Ste 5a, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 253-8959.

Bonnie Elizabeth Ellzey is licensed to practice in Mississippi (license number 904198) 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 1972129609.

Contact Information

Bonnie Elizabeth Ellzey, FNP-C
201 Stateline Rd W Ste 5a,
Southaven, MS 38671-1600
(662) 253-8959
(662) 470-6918

Map and Direction




Provider's Profile

Full NameBonnie Elizabeth Ellzey
GenderFemale
SpecialityNurse Practitioner - Family
Location201 Stateline Rd W Ste 5a, Southaven, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972129609
  • Provider Enumeration Date: 06/18/2020
  • Last Update Date: 06/24/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6709291206
  • Enrollment ID: I20210216000403

Medical Identifiers

Medical identifiers for Bonnie Elizabeth Ellzey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972129609NPI-NPPES
30309OtherTNTN BOARD OF NURSING
904198OtherMSMS BOARD OF NURSING

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WM0705XRegistered Nurse - Medical-surgical 902486 (Mississippi)Secondary
207Q00000XFamily Medicine 904198 (Mississippi)Secondary
207QA0505XFamily Medicine - Adult Medicine 904198 (Mississippi)Secondary
363LF0000XNurse Practitioner - Family 904198 (Mississippi)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. Bonnie Elizabeth Ellzey allows following entities to bill medicare on her behalf.
Entity NameFast Pace Mississippi Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447769559
PECOS PAC ID: 3678832029
Enrollment ID: O20180111000291
Entity NameExpress Care Of Cleveland, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780151381
PECOS PAC ID: 0547502387
Enrollment ID: O20190429000343
Entity NameCommunity Care Health Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619368842
PECOS PAC ID: 8527324151
Enrollment ID: O20210520000556

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. Bonnie Elizabeth Ellzey 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
Bonnie Elizabeth Ellzey, FNP-C
3715 Cypress Plantation Dr,
Olive Branch, MS 38654-7640

Ph: (901) 674-4161		Bonnie Elizabeth Ellzey, FNP-C
201 Stateline Rd W Ste 5a,
Southaven, MS 38671-1600

Ph: (662) 253-8959

Reviews and Comments


Nurse Practitioner Nurses in Southaven, MS

Mr. Nathaniel Levi Bump, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7111 Southcrest Pkwy Ste 109, Southaven, MS 38671
Phone: 662-503-7416    Fax: 662-349-9082
Ms. Sherlean D Shugars, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2149 Stateline Rd W, Southaven, MS 38671
Phone: 662-342-1112    
Penny Marie Holley, FNP
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Medicare: Medicare Enrolled
Practice Location: 3964 Goodman Rd E Ste 128-129, Southaven, MS 38672
Phone: 662-655-0456    Fax: 662-655-0457
Christopher Gully, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 363 Southcrest Cir Ste 202, Southaven, MS 38671
Phone: 901-226-0456    Fax: 901-226-0458
Mrs. Christy Le Anne Egbert, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 122 Airways Pl, Southaven, MS 38671
Phone: 662-349-9990    Fax: 662-349-2620
Misty Burton, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 391 Southcrest Cir, Southaven, MS 38671
Phone: 662-349-2659    
Rebecca Holly T Robertson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 122 Airways Pl, Southaven, MS 38671
Phone: 662-349-9990    Fax: 662-349-2620

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.