Lisa Ellison, CRNP - Medicare Nurse Practitioner in Pell City, AL

Lisa Ellison, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Pell City, Alabama. Her current practice location is 70 Plaza Dr, Pell City, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 814-9284.

Lisa Ellison is licensed to practice in Alabama (license number 1-063430) 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 1164850954.

Contact Information

Lisa Ellison, CRNP
70 Plaza Dr,
Pell City, AL 35125-9314
(205) 814-9284
(205) 338-0865



Provider's Profile

Full NameLisa Ellison
GenderFemale
SpecialityNurse Practitioner - Family
Location70 Plaza Dr, Pell City, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164850954
  • Provider Enumeration Date: 10/15/2013
  • Last Update Date: 10/15/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 1951532183
  • Enrollment ID: I20140401000525

Medical Identifiers

Medical identifiers for Lisa Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164850954NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1-063430 (Alabama)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. Lisa Ellison allows following entities to bill medicare on her behalf.
Entity NameInri Medical Associates, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831103837
PECOS PAC ID: 0749270197
Enrollment ID: O20040517000780

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Entity NameThe Russell Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417252537
PECOS PAC ID: 6406754431
Enrollment ID: O20110307000502

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Entity NameRural Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932586476
PECOS PAC ID: 8820305600
Enrollment ID: O20150910001722

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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. Lisa 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
Lisa Ellison, CRNP
70 Plaza Dr,
Pell City, AL 35125-9314

Ph: (205) 814-9284
Lisa Ellison, CRNP
70 Plaza Dr,
Pell City, AL 35125-9314

Ph: (205) 814-9284

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Nurse Practitioner Nurses in Pell City, AL

Ms. Laura Paige Farris, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1508 Cogswell Ave, Pell City, AL 35125
Phone: 205-814-1526    
Justin Fuller, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 70 Plaza Dr, Pell City, AL 35125
Phone: 205-814-9284    Fax: 205-814-9626
Wendy O'neal, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 41 Eminence Way Ste A, Pell City, AL 35128
Phone: 205-884-9000    
Erin Chrisla Martin, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 70 Plaza Dr, Pell City, AL 35125
Phone: 205-814-9284    Fax: 205-814-9626
Angela K Belyeu, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7067 Veterans Pkwy, Suite 130, Pell City, AL 35125
Phone: 205-884-9000    Fax: 205-884-8111
Kelsie W Roulaine, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 74 Plaza Dr, Pell City, AL 35125
Phone: 205-814-9284    Fax: 205-814-9626

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