Ivan Elises, APRN-CNP in Moraine, OH - Medicare Nurse Practitioner

Ivan Elises, APRN-CNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Moraine, Ohio. He graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Kettering Independent Medical Group Inc and his current practice location is 5348 Lamme Rd, Moraine, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 534-4651.

Ivan Elises is licensed to practice in Ohio (license number APRN.CNP.0027227) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1891352910.

Contact Information

	Ivan Elises, APRN-CNP
	5348 Lamme Rd, Moraine, OH 45439-3215
	(937) 534-4651
	(937) 522-8799

Map and Direction

Provider's Profile

Full Name	Ivan Elises
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	5348 Lamme Rd, Moraine, Ohio
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ivan Elises graduated from nursing school in 2020

NPI Data:

NPI Number: 1891352910
Provider Enumeration Date: 05/23/2019
Last Update Date: 01/12/2021

Medicare PECOS Information:

PECOS PAC ID: 2668890617
Enrollment ID: I20200908002933

Medical Identifiers

Medical identifiers for Ivan Elises such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891352910	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	RN.367625 (Ohio)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN.CNP.0027227 (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kettering Independent Medical Group Inc	3173710936	602

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. Ivan Elises allows following entities to bill medicare on his behalf.

Entity Name	Alliance Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529

Entity Name	Kettering Independent Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425

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. Ivan Elises 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
Ivan Elises, APRN-CNP 5348 Lamme Rd, Moraine, OH 45439-3215 Ph: (937) 534-4651	Ivan Elises, APRN-CNP 5348 Lamme Rd, Moraine, OH 45439-3215 Ph: (937) 534-4651

Reviews and Comments

Nurse Practitioner Nurses in Moraine, OH

Rachel Bird, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5348 Lamme Rd, Moraine, OH 45439 Phone: 937-534-4651
Mrs. Tamara Kay Thorn, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5348 Lamme Rd, Moraine, OH 45439 Phone: 937-534-4600 Fax: 937-522-8799
Christine Ann Zidek, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3033 Kettering Blvd, Ste 100, Moraine, OH 45439 Phone: 937-293-2133 Fax: 937-293-2161
Stefanie Cain, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3033 Kettering Blvd Ste 100, Moraine, OH 45439 Phone: 937-293-2133 Fax: 855-252-2435
Teresa Sue Thorpe, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2912 Springboro Rd West, Suite 201, Moraine, OH 45439 Phone: 937-297-8999
Jane Ruthann Aridge, REGISTERED NURSE Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300
Lori Ann Morgan, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2921 W Alex Bell Rd, Moraine, OH 45459 Phone: 937-991-3601

Ivan Elises, APRN-CNP - Medicare Nurse Practitioner in Moraine, OH