Mrs Victoria Nicole Ellis, PA-C in Chapmanville, WV - Medicare Physician Assistant

Mrs Victoria Nicole Ellis, PA-C is a medicare enrolled "Physician Assistant - Medical" in Chapmanville, West Virginia. Her current practice location is 200 Vance St, Chapmanville, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 855-0425.

Mrs Victoria Nicole Ellis is licensed to practice in West Virginia (license number 01166) 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 1467609149.

Contact Information

	Mrs Victoria Nicole Ellis, PA-C
	200 Vance St, Chapmanville, WV 25508-9422
	(304) 855-0425
	(304) 855-0427

Provider's Profile

Full Name	Mrs Victoria Nicole Ellis
Gender	Female
Speciality	Physician Assistant - Medical
Location	200 Vance St, Chapmanville, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467609149
Provider Enumeration Date: 08/25/2008
Last Update Date: 02/27/2013

Medicare PECOS Information:

PECOS PAC ID: 2860455714
Enrollment ID: I20041110001354

Medical Identifiers

Medical identifiers for Mrs Victoria Nicole Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467609149	NPI	-	NPPES
3810020410	Medicaid	WV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	01166 (West Virginia)	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 Victoria Nicole 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 Victoria Nicole Ellis, PA-C 7400 Lynn Ave, Hamlin, WV 25523-1138 Ph: (304) 824-5806	Mrs Victoria Nicole Ellis, PA-C 200 Vance St, Chapmanville, WV 25508-9422 Ph: (304) 855-0425

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Physician Assistant Nurses in Chapmanville, WV

Corey Edward Greene, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 40 Shae Ave Ste A, Chapmanville, WV 25508 Phone: 304-310-2261 Fax: 304-310-2262
Deanna Rae Pauley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 555 Main Street, Chapmanville, WV 25508 Phone: 304-688-9901 Fax: 304-688-9904

Mrs Victoria Nicole Ellis, PA-C - Medicare Physician Assistant in Chapmanville, WV