Randall W Ellis, RN - Registered Nurse in Salem, NH

Randall W Ellis, RN is a Registered Nurse - Emergency based in Salem, New Hampshire. Randall W Ellis is licensed to practice in Maine (license number RN53627) and his current practice location is 2 Keewaydin Dr, Salem, New Hampshire. He can be reached at his office (for appointments etc.) via phone at (800) 995-2673.

NPI number for Randall W Ellis is 1073901971 and his current mailing address is 2 Keewaydin Drive, Salem, New Hampshire. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073901971.

Contact Information

Randall W Ellis, RN
2 Keewaydin Dr,
Salem, NH 03079-2839
(800) 995-2673
(888) 979-6551



Provider's Profile

Full NameRandall W Ellis
GenderMale
SpecialityRegistered Nurse - Emergency
Location2 Keewaydin Dr, Salem, New Hampshire
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1073901971
  • Provider Enumeration Date: 12/30/2014
  • Last Update Date: 12/30/2014

Medical Identifiers

Medical identifiers for Randall W Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073901971NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WE0003XRegistered Nurse - Emergency RN53627 (Maine)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. Randall W Ellis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Randall W Ellis, RN
2 Keewaydin Drive,
Salem, NH 03079

Ph: (800) 995-2673
Randall W Ellis, RN
2 Keewaydin Dr,
Salem, NH 03079-2839

Ph: (800) 995-2673

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Registered Nurse Nurses in Salem, NH

Suzette Dore, RN
Registered Nurse
Medicare: Medicare Enrolled
Practice Location: 16 Ticklefancy Ln, Salem, NH 03079
Phone: 978-802-0413    
Deborah A Williams, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2 Keewaydin Dr, Salem, NH 03079
Phone: 800-995-2673    Fax: 888-979-6551
Samantha R Laflamme, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 14 Main St, Salem, NH 03079
Phone: 603-893-7051    Fax: 603-893-7052
Adrienne Marie Haglin,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 44 Geremonty Dr, Salem, NH 03079
Phone: 603-893-7070    
Taylor Woodaman,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2 Keewaydin Dr, Salem, NH 03079
Phone: 800-995-2673    
Nicole Hosie,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2 Keewaydin Dr, Salem, NH 03079
Phone: 800-995-2673    Fax: 888-979-6551

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