Jeanette Ilene Ellis, NURSE ANESTHETIST - Medicare Certified Registered Nurse Anesthetist (crna) in Mount Vernon, IL

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Jeanette Ilene Ellis, NURSE ANESTHETIST is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mount Vernon, Illinois. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Blessing Hospital and her current practice location is 2 Good Samaritan Way Ste 205, Mount Vernon, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 899-3869.

Jeanette Ilene Ellis is licensed to practice in Illinois (license number 118890) 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 1184191363.

Contact Information

Jeanette Ilene Ellis, NURSE ANESTHETIST
2 Good Samaritan Way Ste 205,
Mount Vernon, IL 62864-2476
(618) 899-3869
(618) 899-3558

Map and Direction




Provider's Profile

Full NameJeanette Ilene Ellis
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience7 Years
Location2 Good Samaritan Way Ste 205, Mount Vernon, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jeanette Ilene Ellis graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1184191363
  • Provider Enumeration Date: 10/25/2018
  • Last Update Date: 10/25/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8921344995
  • Enrollment ID: I20190111001188

Medical Identifiers

Medical identifiers for Jeanette Ilene Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184191363NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 118890 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Blessing HospitalQuincy, ILHospital
Ssm Health - Good Samaritan HospitalMount vernon, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Blessing Hospital3072422534369

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. Jeanette Ilene Ellis allows following entities to bill medicare on her behalf.
Entity NameBlessing Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255515342
PECOS PAC ID: 3072422534
Enrollment ID: O20040330001155
Entity NameAnesthesia Associates Of Southern Illinois Surgery Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043757487
PECOS PAC ID: 0648555433
Enrollment ID: O20170317000152
Entity NameCounty Of Clay
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1184655136
PECOS PAC ID: 0042101982
Enrollment ID: O20180801002178

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. Jeanette Ilene 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 AddressPractice Location Address
Jeanette Ilene Ellis, NURSE ANESTHETIST
809 Apache Dr,
Sikeston, MO 63801-4015

Ph: (573) 703-3298		Jeanette Ilene Ellis, NURSE ANESTHETIST
2 Good Samaritan Way Ste 205,
Mount Vernon, IL 62864-2476

Ph: (618) 899-3869

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Mount Vernon, IL

Jamie Josephine Compton, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2 Good Samaritan Way Ste 205, Mount Vernon, IL 62864
Phone: 161-889-9386    
Jonathan L Sorenson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2 Good Samaritan Way, Suite 205, Mount Vernon, IL 62864
Phone: 618-241-1108    Fax: 618-241-3805
Jenna M Winters, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 8 Doctors Park Rd, Mount Vernon, IL 62864
Phone: 618-244-5500    
Mr. Richard Lawrence Scott Iii, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 8 Doctors Park Rd, Mount Vernon, IL 62864
Phone: 314-722-6713    
David Peter Rakey, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1011 Wilshire Dr, Mount Vernon, IL 62864
Phone: 618-242-4150    Fax: 618-244-1696
Vincent Coty Compton, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 8 Doctors Park Rd, Mount Vernon, IL 62864
Phone: 618-244-5500    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.