Marita Walton Ellis, in Nashville, TN - Medicare Nurse Practitioner

Marita Walton Ellis, is a medicare enrolled "Nurse Practitioner" in Nashville, Tennessee. She went to University Of Mississippi School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Centennial Heart Llc and her current practice location is 2400 Patterson St Ste 502, Nashville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 515-1900.

Marita Walton Ellis is licensed to practice in Tennessee (license number 24459) 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 1013315464.

Contact Information

	Marita Walton Ellis,
	2400 Patterson St Ste 502, Nashville, TN 37203
	(615) 515-1900
	Not Available

Map and Direction

Provider's Profile

Full Name	Marita Walton Ellis
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	2400 Patterson St Ste 502, Nashville, Tennessee
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:

Marita Walton Ellis attended and graduated from University Of Mississippi School Of Medicine in 2012

NPI Data:

NPI Number: 1013315464
Provider Enumeration Date: 12/17/2014
Last Update Date: 01/22/2019

Medicare PECOS Information:

PECOS PAC ID: 6709101462
Enrollment ID: I20190111000359

Medical Identifiers

Medical identifiers for Marita Walton Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013315464	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	AP09247 (Louisiana)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	R898664 (Mississippi)	Secondary
363L00000X	Nurse Practitioner	24459 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tristar Centennial Medical Center	Nashville, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Centennial Heart Llc	9931204237	115

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. Marita Walton Ellis allows following entities to bill medicare on her behalf.

Entity Name	Centennial Heart Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245393057 PECOS PAC ID: 9931204237 Enrollment ID: O20070416000188

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. Marita Walton 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
Marita Walton Ellis, 2400 Patterson St Ste 502, Nashville, TN 37203-6511 Ph: (615) 515-1900	Marita Walton Ellis, 2400 Patterson St Ste 502, Nashville, TN 37203 Ph: (615) 515-1900

Reviews and Comments

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Marita Walton Ellis, - Medicare Nurse Practitioner in Nashville, TN