Mrs Kim Marie Ellis, NP-C - Medicare Nurse Practitioner in Aiken, SC

Mrs Kim Marie Ellis, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Aiken, South Carolina. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Palmetto Primary Care Physicians Llc and her current practice location is 302 University Pkwy, Aiken, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 641-5883.

Mrs Kim Marie Ellis is licensed to practice in South Carolina (license number APN 20053 RX) 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 1952762528.

Contact Information

Mrs Kim Marie Ellis, NP-C
302 University Pkwy,
Aiken, SC 29801-6302
(803) 641-5883
Not Available



Provider's Profile

Full NameMrs Kim Marie Ellis
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location302 University Pkwy, Aiken, South Carolina
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 Kim Marie Ellis graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1952762528
  • Provider Enumeration Date: 03/10/2016
  • Last Update Date: 07/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4688963911
  • Enrollment ID: I20160510001189

Medical Identifiers

Medical identifiers for Mrs Kim Marie Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952762528NPI-NPPES
NP3758MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APN 20053 RX (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Trident Medical CenterCharleston, SCHospital
Roper HospitalCharleston, SCHospital
Roper St Francis Hospital-berkely IncMoncks corner, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Palmetto Primary Care Physicians Llc4880508068132

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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 Kim Marie Ellis allows following entities to bill medicare on her behalf.
Entity NamePalmetto Primary Care Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073234928
PECOS PAC ID: 4880508068
Enrollment ID: O20031113000287

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Entity NameSound Physicians Emergency Medicine Of South Carolina Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730636168
PECOS PAC ID: 2163702739
Enrollment ID: O20161219000460

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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 Kim Marie 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 Kim Marie Ellis, NP-C
Po Box 530062,
Atlanta, GA 30353-0062

Ph: (843) 695-6071
Mrs Kim Marie Ellis, NP-C
302 University Pkwy,
Aiken, SC 29801-6302

Ph: (803) 641-5883

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Nurse Practitioner Nurses in Aiken, SC

Lindsay K Pizzuto, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 415 Barnwell Ave Nw, Aiken, SC 29801
Phone: 803-644-4403    Fax: 803-644-4405
Catherine Rutherfurd Rudnick, MSN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 222 Beaufort St Ne, Aiken, SC 29801
Phone: 803-502-4685    
Sarah Brennan Heilig, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1029 York St Ne, Aiken, SC 29801
Phone: 803-648-4119    
Kristin Braveboy Haddock, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 420 Society Hill Dr Ste 100, Aiken, SC 29803
Phone: 803-648-7774    Fax: 803-648-7490
Amaya Edge, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2062 Whiskey Rd, Aiken, SC 29803
Phone: 980-205-5134    
Mrs. Ashley Protzman, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 850 Aiken Mall Dr, Aiken, SC 29803
Phone: 803-648-1464    
Ms. Tracy Stichert, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 415 Barnwell Ave Nw, Aiken, SC 29801
Phone: 803-641-4403    Fax: 803-644-4405

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