Candice Ellis, APRN in South Portland, ME - Medicare Nurse Practitioner

Candice Ellis, APRN is a medicare enrolled "Nurse Practitioner - Primary Care" in South Portland, Maine. Her current practice location is 225 Gorham Rd Ste 200, South Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (800) 757-3326.

Candice Ellis is licensed to practice in Maine (license number CNP231278) 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 1922531011.

Contact Information

	Candice Ellis, APRN
	225 Gorham Rd Ste 200, South Portland, ME 04106-2462
	(800) 757-3326
	Not Available

Map and Direction

Provider's Profile

Full Name	Candice Ellis
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	225 Gorham Rd Ste 200, South Portland, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922531011
Provider Enumeration Date: 04/06/2017
Last Update Date: 05/05/2025

Medicare PECOS Information:

PECOS PAC ID: 9234490939
Enrollment ID: I20211214001663

Medical Identifiers

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

Identifier	Type	State	Issuer
1922531011	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	RN2310377 (Massachusetts)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	CNP231278 (Maine)	Primary
163W00000X	Registered Nurse	074678-21 (New Hampshire)	Secondary
163W00000X	Registered Nurse	2310377 (Massachusetts)	Secondary
363L00000X	Nurse Practitioner	074678-23 (New Hampshire)	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. Candice Ellis allows following entities to bill medicare on her behalf.

Entity Name	Massachusetts General Physicians Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434

Entity Name	The General Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351

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. Candice 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
Candice Ellis, APRN 22 Bramhall St, Portland, ME 04102-3175 Ph: (207) 662-3500	Candice Ellis, APRN 225 Gorham Rd Ste 200, South Portland, ME 04106-2462 Ph: (800) 757-3326

Reviews and Comments

Nurse Practitioner Nurses in South Portland, ME

Mr. Michael Urban Trueworthy, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 650 Main St, Ste 213, South Portland, ME 04106 Phone: 207-835-6098 Fax: 207-835-6097
Mary P Delois, RN,MSN,F.N.P.-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 260 Western Ave, South Portland, ME 04106 Phone: 207-761-4700 Fax: 207-761-4744
Pamela G. Argereow, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Foden Road, West, Suite 100, South Portland, ME 04106 Phone: 207-523-3904 Fax: 207-523-8588
Meredith L Curtis, AG PCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 265 Western Ave Ste 2, South Portland, ME 04106 Phone: 207-661-0200
Megan Bickford, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 265 Western Ave, South Portland, ME 04106 Phone: 207-661-0200
Ms. Melissa Nye Libby, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Brickhill Ave, Ste 304, South Portland, ME 04106 Phone: 207-761-4700 Fax: 207-467-8910
Mr. Duncan T Hopkins Jr., MS, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 209 Western Ave, Suite B2, South Portland, ME 04106 Phone: 207-553-9071 Fax: 207-553-9074

Candice Ellis, APRN - Medicare Nurse Practitioner in South Portland, ME