Emily Camille Ellis, FNP-BC in Warren, MI - Medicare Nurse Practitioner

Emily Camille Ellis, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Warren, Michigan. Her current practice location is 5350 Christi Dr, Warren, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 516-1351.

Emily Camille Ellis is licensed to practice in Michigan (license number 4704329116) 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 1801401237.

Contact Information

	Emily Camille Ellis, FNP-BC
	5350 Christi Dr, Warren, MI 48091-4195
	(616) 516-1351
	Not Available

Map and Direction

Provider's Profile

Full Name	Emily Camille Ellis
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5350 Christi Dr, Warren, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801401237
Provider Enumeration Date: 09/11/2020
Last Update Date: 11/26/2020

Medicare PECOS Information:

PECOS PAC ID: 8820403645
Enrollment ID: I20210209000088

Medical Identifiers

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

Identifier	Type	State	Issuer
1801401237	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704329116 (Michigan)	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. Emily Camille Ellis allows following entities to bill medicare on her behalf.

Entity Name	Molina Care Connections Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20180320001095

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. Emily Camille 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
Emily Camille Ellis, FNP-BC 5350 Christi Dr, Warren, MI 48091-4195 Ph: (616) 516-1351	Emily Camille Ellis, FNP-BC 5350 Christi Dr, Warren, MI 48091-4195 Ph: (616) 516-1351

Reviews and Comments

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Alexander Cole-selvaggio, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27101 Schoenherr Rd, Warren, MI 48088 Phone: 586-758-5800 Fax: 586-758-5841
Jenny Dessinger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27560 Hoover Rd, Warren, MI 48093 Phone: 586-757-6400
Randon Carl Jenkins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4669 E 8 Mile Rd, Warren, MI 48091 Phone: 313-416-6262

Emily Camille Ellis, FNP-BC - Medicare Nurse Practitioner in Warren, MI