Mrs Amber Ellis, FNP-BC - Medicare Nurse Practitioner in Logan, WV

Mrs Amber Ellis, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Logan, West Virginia. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Living Waters Medical Center and her current practice location is 140 Stollings Ave, Suite 3, Logan, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 752-4594.

Mrs Amber Ellis is licensed to practice in West Virginia (license number 61591) 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 1093049983.

Contact Information

Mrs Amber Ellis, FNP-BC
140 Stollings Ave, Suite 3,
Logan, WV 25601-4035
(304) 752-4594
Not Available



Provider's Profile

Full NameMrs Amber Ellis
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location140 Stollings Ave, Logan, West Virginia
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:
  • Mrs Amber Ellis graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1093049983
  • Provider Enumeration Date: 09/24/2009
  • Last Update Date: 09/09/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 7113068057
  • Enrollment ID: I20100114000031

Medical Identifiers

Medical identifiers for Mrs Amber Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093049983NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 61591 (West Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Logan Regional Medical CenterLogan, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Living Waters Medical Center27697110192

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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. Mrs Amber Ellis allows following entities to bill medicare on her behalf.
Entity NameHealthy Habits Wellness Ctr, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659323665
PECOS PAC ID: 3072539790
Enrollment ID: O20051020001114

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Entity NameLiving Waters Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114585619
PECOS PAC ID: 2769711019
Enrollment ID: O20190911002098

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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. Mrs Amber 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
Mrs Amber Ellis, FNP-BC
140 Stollings Ave, Suite 3,
Logan, WV 25601-4035

Ph: (304) 752-4594
Mrs Amber Ellis, FNP-BC
140 Stollings Ave, Suite 3,
Logan, WV 25601-4035

Ph: (304) 752-4594

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Nurse Practitioner Nurses in Logan, WV

Timothy M Reed, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 20 Hospital Dr, Logan, WV 25601
Phone: 304-831-1188    
Jenna Marie Hager, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 77 Hospital Dr, Logan, WV 25601
Phone: 304-896-5200    Fax: 304-896-5300
William Ray Watkins Jr., RN, MSN, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 214 Hanging Rock Hwy, Logan, WV 25601
Phone: 304-784-5404    
Takara Leeann Muncy,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 174 Lmah Center Rd, Logan, WV 25601
Phone: 304-792-7130    Fax: 304-792-7146
Mr. Printess John Lawrence, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 300 Prosperity Lane, Suite 100, Logan, WV 25601
Phone: 304-831-0073    Fax: 304-831-0471
Patsy Eugenie Stoots, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 20 Hospital Dr, Logan, WV 25601
Phone: 304-831-1101    

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