Lawanda Nicole Ellis, FNP is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Taylorsville, Mississippi. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Family Health Center, Inc and her current practice location is
531 Ms-23, Taylorsville, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 785-9580.
Lawanda Nicole Ellis is licensed to practice in Mississippi (license number 901770) 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 1518571900.
Provider's Profile
| Full Name | Lawanda Nicole Ellis |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 5 Years |
|---|
| Location | 531 Ms-23, Taylorsville, Mississippi |
|---|
| 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:
- Lawanda Nicole Ellis graduated from nursing school in 2020
NPI Data:
- NPI Number: 1518571900
- Provider Enumeration Date: 09/02/2020
- Last Update Date: 11/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 5799183489
- Enrollment ID: I20211011001972
Medical Identifiers
Medical identifiers for Lawanda Nicole Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518571900 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 901770 (Mississippi) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 901770 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Family Health Center, Inc | 9638163348 | 6 |
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. Lawanda Nicole Ellis allows following entities to bill medicare on her behalf.
| Entity Name | Family Health Center, Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1760488357
PECOS PAC ID: 9638163348
Enrollment ID: O20040414000267 |
|---|
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. Lawanda Nicole 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 |
|---|
Lawanda Nicole Ellis, FNP
531 Ms-28,
Taylorsville, MS 39168-5791
Ph: (601) 785-9580 | Lawanda Nicole Ellis, FNP
531 Ms-23,
Taylorsville, MS 39168
Ph: (601) 785-9580 |
Reviews and Comments