Cortney Ellis, in Fremont, MI - Medicare Occupational Therapist Provider

Cortney Ellis, is a medicare enrolled "Occupational Therapist" provider in Fremont, Michigan. Her current practice location is 212 S Sullivan Ave, Fremont, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 924-3300.

Cortney Ellis is licensed to practice in Michigan (license number 5201013733) 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 1013715952.

Contact Information

	Cortney Ellis,
	212 S Sullivan Ave, Fremont, MI 49412-1548
	(231) 924-3300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Cortney Ellis
Gender	Female
Speciality	Occupational Therapist
Location	212 S Sullivan Ave, Fremont, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013715952
Provider Enumeration Date: 03/06/2025
Last Update Date: 03/06/2025

Medicare PECOS Information:

PECOS PAC ID: 1456875327
Enrollment ID: I20250412000122

Medical Identifiers

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

Identifier	Type	State	Issuer
1013715952	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	5201013733 (Michigan)	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. Cortney Ellis allows following entities to bill medicare on her behalf.

Provider Name	Kristine Koetje Ma, Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1316010770 PECOS PAC ID: 3375701873 Enrollment ID: O20120229000489

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. Cortney 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
Cortney Ellis, 653 Mills Ave, North Muskegon, MI 49445-2871 Ph: (231) 740-4979	Cortney Ellis, 212 S Sullivan Ave, Fremont, MI 49412-1548 Ph: (231) 924-3300

Reviews and Comments

Occupational Therapist in Fremont, MI

Mrs. Julie Kathleen Chilson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 W Main St, Fremont, MI 49412 Phone: 231-924-3195
Vicky Lynn Eikenberry, COTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4554 W 48th St, Fremont, MI 49412 Phone: 231-924-9295 Fax: 231-924-9371
Paige Galbreath, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4554 W 48th St, Fremont, MI 49412 Phone: 231-924-3990
Nikki D Bird, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4554 W 48th St, Fremont, MI 49412 Phone: 231-924-9295

Cortney Ellis, - Medicare Occupational Therapist in Fremont, MI