Carlie G Ellis, in Bremerton, WA - Medicare Nurse Practitioner

Carlie G Ellis, is a medicare enrolled "Nurse Practitioner - Gerontology" in Bremerton, Washington. Her current practice location is 2709 Hemlock St, Bremerton, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 373-2547.

Carlie G Ellis is licensed to practice in Washington (license number AP60971061) 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 1750933040.

Contact Information

	Carlie G Ellis,
	2709 Hemlock St, Bremerton, WA 98310-2623
	(360) 373-2547
	(360) 479-8268

Map and Direction

Provider's Profile

Full Name	Carlie G Ellis
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	2709 Hemlock St, Bremerton, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750933040
Provider Enumeration Date: 07/16/2019
Last Update Date: 11/03/2020

Medicare PECOS Information:

PECOS PAC ID: 7517297336
Enrollment ID: I20190920003042

Medical Identifiers

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

Identifier	Type	State	Issuer
1750933040	NPI	-	NPPES
2138383	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AP60971061 (Washington)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	AP60971061 (Washington)	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. Carlie G Ellis allows following entities to bill medicare on her behalf.

Entity Name	Franciscan Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789

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. Carlie G 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
Carlie G Ellis, 2709 Hemlock St, Bremerton, WA 98310-2623 Ph: (360) 373-2547	Carlie G Ellis, 2709 Hemlock St, Bremerton, WA 98310-2623 Ph: (360) 373-2547

Reviews and Comments

Nurse Practitioner Nurses in Bremerton, WA

Teri Lynae Scott, ARNP, CWCN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2520 Cherry Ave, Bremerton, WA 98310 Phone: 360-744-5618 Fax: 360-744-4559
Ms. Gretchen Cornwall Berni, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2709 Hemlock St, Bremerton, WA 98310 Phone: 360-782-6000 Fax: 360-478-7240
Elizabeth J Shaubell, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: One Boone Road, Naval Hospital, Bremerton, WA 98312 Phone: 360-475-4379 Fax: 360-475-4646
Theresa A Danscuk-sloan, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: One Boone Road, Bremerton, WA 98312 Phone: 360-475-4426 Fax: 360-475-4344
Mrs. Mary Kathryn Odahl Heli, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Boone Rd, Bremerton, WA 98312 Phone: 360-475-4209
Breanna Laura Gulati, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2709 Hemlock St, Bremerton, WA 98310 Phone: 360-782-6000
John T Spannuth, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Boone Road, Naval Hospital, Bremerton, WA 98312 Phone: 360-475-4379 Fax: 360-475-4646

Carlie G Ellis, - Medicare Nurse Practitioner in Bremerton, WA