Staci Gaye Ellis, MSPT in Lakewood, WA - Medicare Physical Therapist Provider

Staci Gaye Ellis, MSPT is a medicare enrolled "Physical Therapist" provider in Lakewood, Washington. Her current practice location is 7308 Bridgeport Way W Ste 103, Lakewood, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 582-8500.

Staci Gaye Ellis is licensed to practice in Washington (license number PT7361) 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 1376543884.

Contact Information

	Staci Gaye Ellis, MSPT
	7308 Bridgeport Way W Ste 103, Lakewood, WA 98499-8000
	(253) 582-8500
	(253) 582-8160

Map and Direction

Healthcare Provider's Profile

Full Name	Staci Gaye Ellis
Gender	Female
Speciality	Physical Therapist
Location	7308 Bridgeport Way W Ste 103, Lakewood, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376543884
Provider Enumeration Date: 07/26/2005
Last Update Date: 06/03/2019

Medicare PECOS Information:

PECOS PAC ID: 9537206073
Enrollment ID: I20091102000378

Medical Identifiers

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

Identifier	Type	State	Issuer
1376543884	NPI	-	NPPES
00007361	Other	WA	PT LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT7361 (Washington)	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. Staci Gaye Ellis allows following entities to bill medicare on her behalf.

Provider Name	Multicare Health System
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760

Provider Name	Integrated Rehabilitation Group Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1154369833 PECOS PAC ID: 0042111718 Enrollment ID: O20040115000944

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. Staci Gaye 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
Staci Gaye Ellis, MSPT 3209 S 23rd St, Tacoma, WA 98405-1602 Ph: (253) 459-6999	Staci Gaye Ellis, MSPT 7308 Bridgeport Way W Ste 103, Lakewood, WA 98499-8000 Ph: (253) 582-8500

Reviews and Comments

Physical Therapist in Lakewood, WA

Matthew Gregory Prindle, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5605 100th St Sw Ste B, Lakewood, WA 98499 Phone: 253-284-9800 Fax: 253-284-9801
Joseph F Staeheli, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8107 Steilacoom Blvd Sw, Lakewood, WA 98498 Phone: 253-584-6555 Fax: 253-584-6926
Samantha L. Gubka, DPT, OCS, CCCE Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7308 Bridgeport Way W, Suite 103, Lakewood, WA 98499 Phone: 253-582-8142 Fax: 253-582-8160
Jessica Estes, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9315 Gravelly Lake Dr Sw, Suite 306, Lakewood, WA 98499 Phone: 253-581-5200 Fax: 253-581-5203
Brady Houbrick, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10903 Gravelly Lake Dr Sw, Lakewood, WA 98499 Phone: 253-583-5230
Regina Y Lim-yu, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8524 Steilacoom Blvd Sw, Lakewood, WA 98498 Phone: 253-722-5511
Mikayla Barton, Physical Therapist Medicare: Medicare Enrolled Practice Location: 9521 Gravelly Lake Dr Sw, Lakewood, WA 98499 Phone: 253-983-9395

Staci Gaye Ellis, MSPT - Medicare Physical Therapist in Lakewood, WA