Danny Ellis, NP in Vicksburg, MS - Medicare Nurse Practitioner

Danny Ellis, NP is a medicare enrolled "Nurse Practitioner" in Vicksburg, Mississippi. His current practice location is 2100 Highway 61 N, Vicksburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 883-4250.

Danny Ellis is licensed to practice in Mississippi (license number R826981) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1760699540.

Contact Information

	Danny Ellis, NP
	2100 Highway 61 N, Vicksburg, MS 39183-8211
	(601) 883-4250
	Not Available

Map and Direction

Provider's Profile

Full Name	Danny Ellis
Gender	Male
Speciality	Nurse Practitioner
Location	2100 Highway 61 N, Vicksburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760699540
Provider Enumeration Date: 05/17/2007
Last Update Date: 08/12/2008

Medicare PECOS Information:

PECOS PAC ID: 9537252648
Enrollment ID: I20070906000176

Medical Identifiers

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

Identifier	Type	State	Issuer
1760699540	NPI	-	NPPES
00634567	Medicaid	MS
1029611	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R826981 (Mississippi)	Primary
363LG0600X	Nurse Practitioner - Gerontology	R826981 (Mississippi)	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. Danny Ellis allows following entities to bill medicare on his behalf.

Entity Name	Claiborne County Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710238324 PECOS PAC ID: 0244394385 Enrollment ID: O20100809000770

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. Danny 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
Danny Ellis, NP 2100 Highway 61 N, Vicksburg, MS 39183-8211 Ph: (601) 883-4250	Danny Ellis, NP 2100 Highway 61 N, Vicksburg, MS 39183-8211 Ph: (601) 883-4250

Reviews and Comments

Nurse Practitioner Nurses in Vicksburg, MS

Jenifer Justice, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1911 Mission 66 Ste B, Vicksburg, MS 39180 Phone: 014-562-5986 Fax: 855-830-3484
Mrs. Kimberly Fuller, MSN, ACNP - BS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000
Mrs. Latasha Jackson Claiborne, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031
Nina Tomlinson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 807 Monroe St, Vicksburg, MS 39183 Phone: 601-636-4356
Linda Cheslek, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 807 Monroe St, Vicksburg, MS 39183 Phone: 601-636-4356
Kerrie Sanders- Smith, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4077 Pemberton Square Blvd, Vicksburg, MS 39180 Phone: 601-638-8600
Manivanh A Prudhomme, MSN, FNP-BC, AGACNP- Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2011 Highway 61 N, Vicksburg, MS 39183 Phone: 014-562-2776 Fax: 601-456-2622

Danny Ellis, NP - Medicare Nurse Practitioner in Vicksburg, MS