Ebonie Myakee Zollicoffer, in Sussex, WI - Medicare Nurse Practitioner

Ebonie Myakee Zollicoffer, is a medicare enrolled "Nurse Practitioner - Family" in Sussex, Wisconsin. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Theoria Medical and her current practice location is N62w23334 Silver Spring Dr, Sussex, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 225-1163.

Ebonie Myakee Zollicoffer is licensed to practice in Wisconsin (license number 9919) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376938209.

Contact Information

	Ebonie Myakee Zollicoffer,
	N62w23334 Silver Spring Dr, Sussex, WI 53089-3875
	(262) 225-1163
	Not Available

Map and Direction

Provider's Profile

Full Name	Ebonie Myakee Zollicoffer
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	N62w23334 Silver Spring Dr, Sussex, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ebonie Myakee Zollicoffer graduated from nursing school in 2019

NPI Data:

NPI Number: 1376938209
Provider Enumeration Date: 03/28/2015
Last Update Date: 05/25/2020

Medicare PECOS Information:

PECOS PAC ID: 4183042583
Enrollment ID: I20200917000439

Medical Identifiers

Medical identifiers for Ebonie Myakee Zollicoffer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376938209	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	159473 (Wisconsin)	Secondary
363LF0000X	Nurse Practitioner - Family	9919 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Theoria Medical	5395098339	414

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. Ebonie Myakee Zollicoffer allows following entities to bill medicare on her behalf.

Entity Name	Oak Medical Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669910345 PECOS PAC ID: 0042595175 Enrollment ID: O20170331001848

Entity Name	Vitae Health Medical Wisconsin Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508483140 PECOS PAC ID: 6901224773 Enrollment ID: O20200910000995

Entity Name	Theoria Medical
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20220331000407

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. Ebonie Myakee Zollicoffer 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
Ebonie Myakee Zollicoffer, N55w21268 Logan Dr, Menomonee Falls, WI 53051-6211 Ph: (262) 225-1163	Ebonie Myakee Zollicoffer, N62w23334 Silver Spring Dr, Sussex, WI 53089-3875 Ph: (262) 225-1163

Reviews and Comments

Nurse Practitioner Nurses in Sussex, WI

Samantha Sippl, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: N64w25037 Prospect Cir, Sussex, WI 53089 Phone: 262-532-8680
Ms. Victoria Lynn Tyra, RN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: N61w23044 Harrys Way, Sussex, WI 53089 Phone: 866-275-3737 Fax: 414-566-7613
Joanne M Peterson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: N66w25201 County Highway Vv, Fast Care Clinic, Sussex, WI 53089 Phone: 262-532-8691
Andrea R Enters, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: N54w23859 Johanssen Ct, Sussex, WI 53089 Phone: 414-708-8824
Michelle M Mindham, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: N65w24838 Main St, Unit 400, Sussex, WI 53089 Phone: 262-246-6822
Ms. Andrea Marie Cantwell-durand, RNC, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: N51w24953 Lisbon Road, Sussex, WI 53089 Phone: 262-532-8691
Donald J. Daley Jr., N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: W227n6103 Sussex Rd, Sussex, WI 53089 Phone: 414-566-8100 Fax: 414-566-8038

Ebonie Myakee Zollicoffer, - Medicare Nurse Practitioner in Sussex, WI