Madelyne Ellis, FNP - Medicare Nurse Practitioner in Friendship, TN

  1. Home
  2. Nurse Practitioner
  3. TN
  4. Friendship
Madelyne Ellis, FNP is a medicare enrolled "Nurse Practitioner" in Friendship, Tennessee. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wound Management Specialists Llc and her current practice location is 1159 Walter Taylor Rd, Friendship, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 787-4062.

Madelyne Ellis is licensed to practice in Tennessee (license number 35673) 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 1205655594.

Contact Information

Madelyne Ellis, FNP
1159 Walter Taylor Rd,
Friendship, TN 38034-3449
(931) 787-4062
Not Available

Map and Direction




Provider's Profile

Full NameMadelyne Ellis
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location1159 Walter Taylor Rd, Friendship, Tennessee
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:
  • Madelyne Ellis graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1205655594
  • Provider Enumeration Date: 10/04/2024
  • Last Update Date: 10/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6406381599
  • Enrollment ID: I20241126003129

Medical Identifiers

Medical identifiers for Madelyne Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205655594NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 35673 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jackson-madison County General HospitalJackson, TNHospital
Lauderdale Community HospitalRipley, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wound Management Specialists Llc5193056364157

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. Madelyne Ellis allows following entities to bill medicare on her behalf.
Entity NameWound Management Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972150084
PECOS PAC ID: 5193056364
Enrollment ID: O20211105001456

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. Madelyne 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
Madelyne Ellis, FNP
60 Physicians Ln,
Southaven, MS 38671-6122

Ph: () -		Madelyne Ellis, FNP
1159 Walter Taylor Rd,
Friendship, TN 38034-3449

Ph: (931) 787-4062

Reviews and Comments


Nurse Practitioner Nurses in Friendship, TN

Phyllis P Moore, DNP,FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 600 Main St, Friendship, TN 38034
Phone: 731-677-3400    Fax: 731-677-3402
Ashley Blalock,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4903 Bruceville Slab Rd, Friendship, TN 38034
Phone: 731-676-0393    

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.