Angelique Nikkol-telycenas Ellison, DO - Medicare Obstetrics/gynecology in Trenton, MI

Angelique Nikkol-telycenas Ellison, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Trenton, Michigan. She went to Michigan State University College Of Osteopathic Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Oakwood Ambulatory Llc and her current practice location is 5400 Fort St Ste 250, Trenton, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 642-2480.

Angelique Nikkol-telycenas Ellison is licensed to practice in Michigan (license number 5101020652) 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 1154769214.

Contact Information

Angelique Nikkol-telycenas Ellison, DO
5400 Fort St Ste 250,
Trenton, MI 48183-4630
(734) 642-2480
(734) 642-2475



Physician's Profile

Full NameAngelique Nikkol-telycenas Ellison
GenderFemale
SpecialityObstetrics/gynecology
Experience11 Years
Location5400 Fort St Ste 250, Trenton, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Angelique Nikkol-telycenas Ellison attended and graduated from Michigan State University College Of Osteopathic Medicine in 2013
  NPI Data:
  • NPI Number: 1154769214
  • Provider Enumeration Date: 06/11/2013
  • Last Update Date: 10/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8123391422
  • Enrollment ID: I20170908000591

Medical Identifiers

Medical identifiers for Angelique Nikkol-telycenas Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154769214NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 5101020652 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beaumont Hospital - TrentonTrenton, MIHospital
Beaumont Hospital - DearbornDearborn, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oakwood Ambulatory Llc1850282914274

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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. Angelique Nikkol-telycenas Ellison allows following entities to bill medicare on her behalf.
Entity NameOakwood Ambulatory Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003829441
PECOS PAC ID: 1850282914
Enrollment ID: O20040320000401

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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. Angelique Nikkol-telycenas Ellison 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 AddressPractice Location Address
Angelique Nikkol-telycenas Ellison, DO
26901 Beaumont Blvd Ste 3d,
Southfield, MI 48033-3849

Ph: (947) 522-1863
Angelique Nikkol-telycenas Ellison, DO
5400 Fort St Ste 250,
Trenton, MI 48183-4630

Ph: (734) 642-2480

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Obstetrics & Gynecology Doctors in Trenton, MI

Dr. Ahmad I Al-jerdi, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2275 W Jefferson Ave, Trenton, MI 48183
Phone: 734-675-7210    Fax: 734-675-3023
Dr. Salvatore John Finazzo, D.O
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1651 Kingsway Ct, Ste. A, Trenton, MI 48183
Phone: 734-671-2110    Fax: 734-671-5344
Dr. Kenneth Leif Nathaniel Sjoren, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 5450 Fort St, Trenton, MI 48183
Phone: 734-671-3297    
Dr. Jaclyn Taylor Baratono, DO
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 5450 Fort St, Trenton, MI 48183
Phone: 734-671-3297    
Dr. Katherine Grace Mackillop, DO
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 5450 Fort St, Trenton, MI 48183
Phone: 508-974-5803    
Rebekah Sessoms, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 5400 Fort St Ste 250, Trenton, MI 48183
Phone: 734-642-2480    

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