Mrs Amber Ellis, FNP-BC in Logan, WV - Medicare Nurse Practitioner

Mrs Amber Ellis, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Logan, West Virginia. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Living Waters Medical Center and her current practice location is 140 Stollings Ave, Suite 3, Logan, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 752-4594.

Mrs Amber Ellis is licensed to practice in West Virginia (license number 61591) 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 1093049983.

Contact Information

	Mrs Amber Ellis, FNP-BC
	140 Stollings Ave, Suite 3, Logan, WV 25601-4035
	(304) 752-4594
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Amber Ellis
Gender	Female
Speciality	Nurse Practitioner
Experience	15 Years
Location	140 Stollings Ave, Logan, West Virginia
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:

Mrs Amber Ellis graduated from nursing school in 2009

NPI Data:

NPI Number: 1093049983
Provider Enumeration Date: 09/24/2009
Last Update Date: 09/09/2011

Medicare PECOS Information:

PECOS PAC ID: 7113068057
Enrollment ID: I20100114000031

Medical Identifiers

Medical identifiers for Mrs Amber Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093049983	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	61591 (West Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Logan Regional Medical Center	Logan, WV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Living Waters Medical Center	2769711019	2

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. Mrs Amber Ellis allows following entities to bill medicare on her behalf.

Entity Name	Healthy Habits Wellness Ctr, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659323665 PECOS PAC ID: 3072539790 Enrollment ID: O20051020001114

Entity Name	Living Waters Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114585619 PECOS PAC ID: 2769711019 Enrollment ID: O20190911002098

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. Mrs Amber 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
Mrs Amber Ellis, FNP-BC 140 Stollings Ave, Suite 3, Logan, WV 25601-4035 Ph: (304) 752-4594	Mrs Amber Ellis, FNP-BC 140 Stollings Ave, Suite 3, Logan, WV 25601-4035 Ph: (304) 752-4594

Reviews and Comments

Nurse Practitioner Nurses in Logan, WV

Timothy M Reed, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-831-1188
Jenna Marie Hager, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 77 Hospital Dr, Logan, WV 25601 Phone: 304-896-5200 Fax: 304-896-5300
William Ray Watkins Jr., RN, MSN, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 214 Hanging Rock Hwy, Logan, WV 25601 Phone: 304-784-5404
Takara Leeann Muncy, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 174 Lmah Center Rd, Logan, WV 25601 Phone: 304-792-7130 Fax: 304-792-7146
Mr. Printess John Lawrence, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Prosperity Lane, Suite 100, Logan, WV 25601 Phone: 304-831-0073 Fax: 304-831-0471
Patsy Eugenie Stoots, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Hospital Dr, Logan, WV 25601 Phone: 304-831-1101

Mrs Amber Ellis, FNP-BC - Medicare Nurse Practitioner in Logan, WV