Mrs Patricia Marie Ellis, PA-C in Fayetteville, GA - Medicare Physician Assistant

Mrs Patricia Marie Ellis, PA-C is a medicare enrolled "Physician Assistant" in Fayetteville, Georgia. Her current practice location is 1265 Highway 54 W, Suite 102, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 460-1900.

Mrs Patricia Marie Ellis is licensed to practice in Georgia (license number 007859) 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 1346237450.

Contact Information

	Mrs Patricia Marie Ellis, PA-C
	1265 Highway 54 W, Suite 102, Fayetteville, GA 30214-4548
	(770) 460-1900
	(770) 719-1214

Provider's Profile

Full Name	Mrs Patricia Marie Ellis
Gender	Female
Speciality	Physician Assistant
Location	1265 Highway 54 W, Fayetteville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346237450
Provider Enumeration Date: 10/04/2005
Last Update Date: 06/03/2016

Medicare PECOS Information:

PECOS PAC ID: 4880611979
Enrollment ID: I20051027001113

Medical Identifiers

Medical identifiers for Mrs Patricia Marie Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346237450	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	007859 (Georgia)	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. Mrs Patricia 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 Address	Practice Location Address
Mrs Patricia Marie Ellis, PA-C 900 Circle 75 Pkwy Se, Ste 1700, Atlanta, GA 30339-3087 Ph: (919) 497-8411	Mrs Patricia Marie Ellis, PA-C 1265 Highway 54 W, Suite 102, Fayetteville, GA 30214-4548 Ph: (770) 460-1900

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Physician Assistant Nurses in Fayetteville, GA

Cynthia M Smith, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1275 Highway 54 W Ste 201, Fayetteville, GA 30214 Phone: 770-461-3776 Fax: 770-461-3565
Dr. John Edward Donohue Ii, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 427 Porter Rd, Fayetteville, GA 30215 Phone: 770-716-8206
Ms. Angela Ward Cubin, CSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1265 Highway 54 W Ste 103, Fayetteville, GA 30214 Phone: 470-514-5538 Fax: 470-514-5561
Jason David Kranenburg, CSFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1415 Highway 85 N Ste 310-147, Fayetteville, GA 30214 Phone: 937-570-2426
Virginia Ann Horan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 404-367-3014
Mrs. Donna Elizabeth Hendley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 132 Old Norton Rd Ste 200, Fayetteville, GA 30215 Phone: 678-817-1117 Fax: 678-817-0823
Jessica Katherine Vernon, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1275 Highway 54 W Ste 201, Fayetteville, GA 30214 Phone: 770-461-3774

Mrs Patricia Marie Ellis, PA-C - Medicare Physician Assistant in Fayetteville, GA