Mary T Ellis, CNM in Hammond, IN - Medicare Advanced Practice Midwife

Mary T Ellis, CNM is a medicare enrolled "Advanced Practice Midwife" in Hammond, Indiana. Her current practice location is 6920 Indianapolis Blvd, Hammond, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 763-8112.

Mary T Ellis is licensed to practice in Michigan (license number 4704272662) 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 1306173786.

Contact Information

	Mary T Ellis, CNM
	6920 Indianapolis Blvd, Hammond, IN 46324-2206
	(219) 763-8112
	(219) 764-3251

Provider's Profile

Full Name	Mary T Ellis
Gender	Female
Speciality	Advanced Practice Midwife
Location	6920 Indianapolis Blvd, Hammond, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306173786
Provider Enumeration Date: 11/05/2009
Last Update Date: 05/27/2014

Medicare PECOS Information:

PECOS PAC ID: 7315164381
Enrollment ID: I20140814002453

Medical Identifiers

Medical identifiers for Mary T Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306173786	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	4704272662 (Michigan)	Primary

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. Mary T 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
Mary T Ellis, CNM Po Box 1430, Portage, IN 46368-9230 Ph: (219) 763-8112	Mary T Ellis, CNM 6920 Indianapolis Blvd, Hammond, IN 46324-2206 Ph: (219) 763-8112

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Advanced Practice Midwife Nurses in Hammond, IN

Michele M Beigle, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 3432-196th Str, Hammond, IN 46323
Phone: 219-844-9060 Fax: 219-844-6912

Mary T Ellis, CNM - Medicare Advanced Practice Midwife in Hammond, IN