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 4 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 |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 4 Years |
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Location | 531 Ms-23, Taylorsville, Mississippi |
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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 |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760488357 PECOS PAC ID: 9638163348 Enrollment ID: O20040414000267 |
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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 |
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