Tara Russell Ellis, NP in North Charleston, SC

Tara Russell Ellis, NP is a medicare enrolled "Nurse Practitioner" in North Charleston, South Carolina. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hospice Care Of South Carolina Llc and her current practice location is 2680 Elms Plantation Blvd, North Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 439-6181.

Tara Russell Ellis is licensed to practice in South Carolina (license number 25495) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1659951739.

Contact Information

	Tara Russell Ellis, NP
	2680 Elms Plantation Blvd, North Charleston, SC 29406-7101
	(843) 439-6181
	Not Available

Map and Direction

Provider's Profile

Full Name	Tara Russell Ellis
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	2680 Elms Plantation Blvd, North Charleston, South Carolina
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tara Russell Ellis graduated from nursing school in 2021

NPI Data:

NPI Number: 1659951739
Provider Enumeration Date: 04/12/2021
Last Update Date: 01/20/2022

Medicare PECOS Information:

PECOS PAC ID: 5193111714
Enrollment ID: I20220407002627

Medical Identifiers

Medical identifiers for Tara Russell Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659951739	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	25495 (South Carolina)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Agape Hospice Of The Lowcountry	Charleston, SC	Hospice

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hospice Care Of South Carolina Llc	7113928961	9

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. Tara Russell Ellis allows following entities to bill medicare on her behalf.

Entity Name	Hospice Care Of South Carolina Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174956098 PECOS PAC ID: 7113928961 Enrollment ID: O20140326001862

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. Tara Russell 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
Tara Russell Ellis, NP 2680 Elms Plantation Blvd, North Charleston, SC 29406-7101 Ph: (843) 813-2914	Tara Russell Ellis, NP 2680 Elms Plantation Blvd, North Charleston, SC 29406-7101 Ph: (843) 439-6181

Reviews and Comments

Nurse Practitioner Nurses in North Charleston, SC

Mr. Richard Dale Brinson, MSN, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9330 Medical Plaza Dr, North Charleston, SC 29406 Phone: 843-847-4595
Kimberly Lynn Rhoton, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4050 Bridge View Dr, Suite 500, Perimeter Center, North Charleston, SC 29405 Phone: 843-746-4030
Whitney Naramore Huff, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4975 Lacross Rd Ste 110, North Charleston, SC 29406 Phone: 843-797-1941 Fax: 843-574-1698
Andrietta Wright Barnett, DNP FNP-C PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4000 Faber Place Dr Ste 110, North Charleston, SC 29405 Phone: 843-501-1099
Mrs. Dodi Lynn Baum, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9267 Medical Plaza Dr Ste G, North Charleston, SC 29406 Phone: 843-797-3636
Tina Withrow, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2910 Tricom St, North Charleston, SC 29406 Phone: 843-572-9211 Fax: 843-572-0457
Hannah Dweikat, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4920 Ohear Ave Ste 101, North Charleston, SC 29405 Phone: 843-856-3784

Tara Russell Ellis, NP - Medicare Nurse Practitioner in North Charleston, SC