Charlotte Gaye Ellis, APRN-BC is a medicare enrolled "Nurse Practitioner - Family" in Trinity, Texas. Her current practice location is
315 Prospect Dr, Trinity, Texas. You can reach out to her office (for appointments etc.) via phone at
(936) 744-1400.
Charlotte Gaye Ellis is licensed to practice in Texas (license number 2022140613) 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 1316640832.
Provider's Profile
Full Name | Charlotte Gaye Ellis |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 315 Prospect Dr, Trinity, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1316640832
- Provider Enumeration Date: 03/23/2023
- Last Update Date: 03/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 2567837487
- Enrollment ID: I20230406002257
Medical Identifiers
Medical identifiers for Charlotte Gaye Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316640832 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 2022140613 (Texas) | 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. Charlotte Gaye Ellis allows following entities to bill medicare on her behalf.
Entity Name | El Campo Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427334077 PECOS PAC ID: 6406021765 Enrollment ID: O20140813001385 |
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Entity Name | Crockett Medical Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487155990 PECOS PAC ID: 3173884152 Enrollment ID: O20180316002045 |
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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. Charlotte Gaye 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 |
Charlotte Gaye Ellis, APRN-BC 2900 Old Houston Rd, Huntsville, TX 77340-6508 Ph: (832) 316-2220 | Charlotte Gaye Ellis, APRN-BC 315 Prospect Dr, Trinity, TX 75862-6202 Ph: (936) 744-1400 |
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