Kylie Alyssa Ellis, APRN in Newnan, GA - Medicare Nurse Practitioner

Kylie Alyssa Ellis, APRN is a medicare enrolled "Nurse Practitioner - Acute Care" in Newnan, Georgia. Her current practice location is 795 Poplar Rd Ste 400, Newnan, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 716-0051.

Kylie Alyssa Ellis is licensed to practice in Georgia (license number RN239284) 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 1457984361.

Contact Information

	Kylie Alyssa Ellis, APRN
	795 Poplar Rd Ste 400, Newnan, GA 30265-2590
	(770) 716-0051
	Not Available

Map and Direction

Provider's Profile

Full Name	Kylie Alyssa Ellis
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	795 Poplar Rd Ste 400, Newnan, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457984361
Provider Enumeration Date: 02/19/2020
Last Update Date: 10/20/2022

Medicare PECOS Information:

PECOS PAC ID: 3476946997
Enrollment ID: I20230106002491

Medical Identifiers

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

Identifier	Type	State	Issuer
1457984361	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN239284 (Georgia)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	RN239284 (Georgia)	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. Kylie Alyssa Ellis allows following entities to bill medicare on her behalf.

Entity Name	Intermountain Medical Group Grand Junction, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356765556 PECOS PAC ID: 3779707856 Enrollment ID: O20140611000363

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. Kylie Alyssa 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
Kylie Alyssa Ellis, APRN 795 Poplar Rd Ste 400, Newnan, GA 30265-2590 Ph: (770) 716-0051	Kylie Alyssa Ellis, APRN 795 Poplar Rd Ste 400, Newnan, GA 30265-2590 Ph: (770) 716-0051

Reviews and Comments

Nurse Practitioner Nurses in Newnan, GA

Leah Shupe, PAC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2045 Highway 34 E, Newnan, GA 30265 Phone: 770-502-0202 Fax: 770-502-8822
Ms. Charvette Gaitone Shumaker-kirk, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Celebrate Life Pkwy, Newnan, GA 30265 Phone: 770-400-7142
Dena Michelle Singleton, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2305 Highway 34 E, Newnan, GA 30265 Phone: 678-423-1043
Mitchell Boles, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1665 Highway 34 E Ste 100, Newnan, GA 30265 Phone: 770-252-7557 Fax: 770-252-7513
Darlene Rene Crittenden, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 745 Poplar Rd, Newnan, GA 30265 Phone: 404-367-3014
Felicia N. Onyeuku, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2305 Highway 34 E, Newnan, GA 30265 Phone: 678-423-1043
Maafia A Osei-cheremeh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Celebrate Life Pkwy, Newnan, GA 30265 Phone: 770-400-6000

Kylie Alyssa Ellis, APRN - Medicare Nurse Practitioner in Newnan, GA