Carolyn Ellis, - Medicare Physician Assistant in Dickson, TN

Carolyn Ellis, is a medicare enrolled "Physician Assistant - Medical" in Dickson, Tennessee. Her current practice location is 1904 Highway 46 S, Suite 3, Dickson, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 375-8469.

Carolyn Ellis is licensed to practice in Tennessee (license number 2879) 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 1104291533.

Contact Information

Carolyn Ellis,
1904 Highway 46 S, Suite 3,
Dickson, TN 37055-7744
(615) 375-8469
Not Available



Provider's Profile

Full NameCarolyn Ellis
GenderFemale
SpecialityPhysician Assistant - Medical
Location1904 Highway 46 S, Dickson, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104291533
  • Provider Enumeration Date: 12/10/2015
  • Last Update Date: 12/10/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6507160207
  • Enrollment ID: I20160201000412

Medical Identifiers

Medical identifiers for Carolyn Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104291533NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 2879 (Tennessee)Primary
363AM0700XPhysician Assistant - Medical 1087 (Alabama)Secondary

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. Carolyn 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 AddressPractice Location Address
Carolyn Ellis,
2203 Sandra Dr,
Nashville, TN 37210-5031

Ph: (865) 406-2396
Carolyn Ellis,
1904 Highway 46 S, Suite 3,
Dickson, TN 37055-7744

Ph: (615) 375-8469

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Physician Assistant Nurses in Dickson, TN

Tiffany Dotson, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 107 Natchez Park Dr, Dickson, TN 37055
Phone: 615-326-2960    
David A. Lutz, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 111 Highway 70 E, Dickson, TN 37055
Phone: 615-512-8391    
Nathan S Dotson, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 111 Highway 70 E, Dickson, TN 37055
Phone: 615-446-0446    
Lauren Hay, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 127 Crestview Park Dr Ste 108, Dickson, TN 37055
Phone: 615-441-4588    Fax: 615-441-4587
Amanda B Baker, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 817 N Charlotte St, Dickson, TN 37055
Phone: 615-740-5900    Fax: 615-446-2386
Jeanette Rhodes, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 199 Henslee Dr, Dickson, TN 37055
Phone: 615-375-5122    

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