Mckenzie Ree Ellett, NP is a medicare enrolled "Nurse Practitioner - Family" in Bicknell, Utah. Her current practice location is
128 S 300 W, Bicknell, Utah. You can reach out to her office (for appointments etc.) via phone at
(435) 425-3744.
Mckenzie Ree Ellett is licensed to practice in Utah (license number 9197962-4405) 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 1164119160.
Provider's Profile
| Full Name | Mckenzie Ree Ellett |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 128 S 300 W, Bicknell, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164119160
- Provider Enumeration Date: 04/19/2023
- Last Update Date: 04/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 7719342724
- Enrollment ID: I20230426002605
Medical Identifiers
Medical identifiers for Mckenzie Ree Ellett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164119160 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 9197962-4405 (Utah) | 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. Mckenzie Ree Ellett allows following entities to bill medicare on her behalf.
| Entity Name | Wayne Community Health Centers, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093816282
PECOS PAC ID: 1254242233
Enrollment ID: O20040113000649 |
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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. Mckenzie Ree Ellett 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 |
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Mckenzie Ree Ellett, NP
Po Box 397,
Loa, UT 84747-0397
Ph: (435) 491-2906 | Mckenzie Ree Ellett, NP
128 S 300 W,
Bicknell, UT 84715-7722
Ph: (435) 425-3744 |
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