Cortney Shantres Ellis, - Medicare Nurse Practitioner in Belton, SC

Cortney Shantres Ellis, is a medicare enrolled "Nurse Practitioner - Family" in Belton, South Carolina. Her current practice location is 110 Evans Dr, Belton, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 356-4598.

Cortney Shantres Ellis is licensed to practice in South Carolina (license number 2019050719) 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 1396380283.

Contact Information

Cortney Shantres Ellis,
110 Evans Dr,
Belton, SC 29627-9464
(864) 356-4598
Not Available



Provider's Profile

Full NameCortney Shantres Ellis
GenderFemale
SpecialityNurse Practitioner - Family
Location110 Evans Dr, Belton, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396380283
  • Provider Enumeration Date: 11/14/2019
  • Last Update Date: 07/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3870904162
  • Enrollment ID: I20201117001721

Medical Identifiers

Medical identifiers for Cortney Shantres Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396380283NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 23492 (South Carolina)Secondary
363LF0000XNurse Practitioner - Family 2019050719 (South Carolina)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 Shantres Ellis allows following entities to bill medicare on her behalf.
Entity NameHealthworks Med Group Of South Carolina, P.c
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588972426
PECOS PAC ID: 2466620034
Enrollment ID: O20110726000548

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Entity NameDavid Budhoo Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881110294
PECOS PAC ID: 5496088684
Enrollment ID: O20190603001233

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Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191209002986

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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. Cortney Shantres 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
Cortney Shantres Ellis,
300 Brittany Park,
Anderson, SC 29621-1565

Ph: (864) 356-4598
Cortney Shantres Ellis,
110 Evans Dr,
Belton, SC 29627-9464

Ph: (864) 356-4598

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Nurse Practitioner Nurses in Belton, SC

Carolyn Blanche Mega, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 113 Wildwood Dr, Belton, SC 29627
Phone: 864-940-9701    Fax: 864-338-8760
Candace Jones, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 103 Running Fox Ln, Belton, SC 29627
Phone: 864-940-8530    

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