Mrs Kim Marie Ellis, NP-C in Aiken, SC - Medicare Nurse Practitioner

Mrs Kim Marie Ellis, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Aiken, South Carolina. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Palmetto Primary Care Physicians Llc and her current practice location is 302 University Pkwy, Aiken, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 641-5883.

Mrs Kim Marie Ellis is licensed to practice in South Carolina (license number APN 20053 RX) 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 1952762528.

Contact Information

	Mrs Kim Marie Ellis, NP-C
	302 University Pkwy, Aiken, SC 29801-6302
	(803) 641-5883
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kim Marie Ellis
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	302 University Pkwy, Aiken, South Carolina
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 Kim Marie Ellis graduated from nursing school in 2015

NPI Data:

NPI Number: 1952762528
Provider Enumeration Date: 03/10/2016
Last Update Date: 07/06/2021

Medicare PECOS Information:

PECOS PAC ID: 4688963911
Enrollment ID: I20160510001189

Medical Identifiers

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

Identifier	Type	State	Issuer
1952762528	NPI	-	NPPES
NP3758	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APN 20053 RX (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Roper Hospital	Charleston, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Palmetto Primary Care Physicians Llc	4880508068	124

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 Kim Marie Ellis allows following entities to bill medicare on her behalf.

Entity Name	Palmetto Primary Care Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073234928 PECOS PAC ID: 4880508068 Enrollment ID: O20031113000287

Entity Name	Sound Physicians Emergency Medicine Of South Carolina Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730636168 PECOS PAC ID: 2163702739 Enrollment ID: O20161219000460

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 Kim Marie 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 Kim Marie Ellis, NP-C Po Box 530062, Atlanta, GA 30353-0062 Ph: (843) 695-6071	Mrs Kim Marie Ellis, NP-C 302 University Pkwy, Aiken, SC 29801-6302 Ph: (803) 641-5883

Reviews and Comments

Nurse Practitioner Nurses in Aiken, SC

Lindsay K Pizzuto, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 415 Barnwell Ave Nw, Aiken, SC 29801 Phone: 803-644-4403 Fax: 803-644-4405
Catherine Rutherfurd Rudnick, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 222 Beaufort St Ne, Aiken, SC 29801 Phone: 803-502-4685
Sarah Brennan Heilig, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1029 York St Ne, Aiken, SC 29801 Phone: 803-648-4119
Mrs. Destiny Nycole Howell, NURSE PRACTITIONER Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 216 Edgefield Ave Nw, Aiken, SC 29801 Phone: 803-648-4224
Kristin Braveboy Haddock, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 Society Hill Dr Ste 100, Aiken, SC 29803 Phone: 803-648-7774 Fax: 803-648-7490
Amaya Edge, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2062 Whiskey Rd, Aiken, SC 29803 Phone: 980-297-5556
Mrs. Ashley Jarratt Protzman, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6167 Braided Mane Pass Sw, Aiken, SC 29803 Phone: 803-648-1464

Mrs Kim Marie Ellis, NP-C - Medicare Nurse Practitioner in Aiken, SC