| Daniella S Ellis, FNP | |
|
11273 Highway 61 N, Robinsonville, MS 38664-9705 | |
| (662) 357-0012 | |
| (662) 357-0021 |
| Full Name | Daniella S Ellis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 11273 Highway 61 N, Robinsonville, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528149531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R87-3851 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital St Louis | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic East Communities | 7214827922 | 535 |
| Entity Name | Medwin Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376552067 PECOS PAC ID: 0446203236 Enrollment ID: O20050221000570 |
| Entity Name | Mercy Clinic East Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniella S Ellis, FNP Po Box 789, Tunica, MS 38676-0789 Ph: (662) 357-0012 | Daniella S Ellis, FNP 11273 Highway 61 N, Robinsonville, MS 38664-9705 Ph: (662) 357-0012 |
Ms. Melanie Jo Hill, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1021 Casino Center Dr, Caesar's Health And Wellness Center, Robinsonville, MS 38664 Phone: 662-357-3264 Fax: 662-357-6092 | |
Angela Ealy, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11273 Highway 61 N, Robinsonville, MS 38664 Phone: 662-363-3224 Fax: 662-363-3234 | |
Shaletha Martin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11273 Highway 61 N, Robinsonville, MS 38664 Phone: 662-363-3224 Fax: 662-363-3234 | |
Ms. Garnette Miller, DNP FNP BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1150 Casino Strip Resort Blvd, Robinsonville, MS 38664 Phone: 662-357-7707 Fax: 662-357-7807 |