Mrs Latasha Michelle Ellis, LCSW in Statesville, NC - Medicare Clinical Social Worker Provider

Mrs Latasha Michelle Ellis, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Statesville, North Carolina. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 766 Hartness Rd, Statesville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 380-3620.

Mrs Latasha Michelle Ellis is licensed to practice in North Carolina (license number C005951) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1487832671.

Contact Information

	Mrs Latasha Michelle Ellis, LCSW
	766 Hartness Rd, Statesville, NC 28677-3425
	(704) 380-3620
	(704) 380-3623

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Latasha Michelle Ellis
Gender	Female
Speciality	Clinical Social Worker
Experience	23 Years
Location	766 Hartness Rd, Statesville, North Carolina
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Latasha Michelle Ellis graduated from medical school in 2001

NPI Data:

NPI Number: 1487832671
Provider Enumeration Date: 02/10/2008
Last Update Date: 03/08/2021

Medicare PECOS Information:

PECOS PAC ID: 7517012271
Enrollment ID: I20090901000378

Medical Identifiers

Medical identifiers for Mrs Latasha Michelle Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487832671	NPI	-	NPPES
6106903	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C005951 (North Carolina)	Primary

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 Latasha Michelle Ellis allows following entities to bill medicare on her behalf.

Entity Name	Gaston Family Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215932215 PECOS PAC ID: 5496733925 Enrollment ID: O20040712000470

Entity Name	Iredell Physician Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811381593 PECOS PAC ID: 0749345007 Enrollment ID: O20090219000651

Entity Name	Ahsat Counseling And Consulting Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306144910 PECOS PAC ID: 2567618812 Enrollment ID: O20120802000189

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 Latasha Michelle 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 Latasha Michelle Ellis, LCSW 200 E 2nd Ave, Gastonia, NC 28052-4358 Ph: (704) 874-1904	Mrs Latasha Michelle Ellis, LCSW 766 Hartness Rd, Statesville, NC 28677-3425 Ph: (704) 380-3620

Reviews and Comments

Social Worker in Statesville, NC

Megann E Grace-sanchez, MSW, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 913 N Carolina Ave, Statesville, NC 28677 Phone: 704-871-0934
Ms. Sue Ann Bingham Brown, MSW, LCSW, PIP Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 276 Old Mocksville Rd Ste 100, Statesville, NC 28625 Phone: 704-317-2931
Katherine Ashe Roethling, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1450 Fern Creek Dr, Statesville, NC 28625 Phone: 704-237-4240
Ketwan Kareem Graham, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 474 N Center St, Statesville, NC 28677 Phone: 704-873-3491
Mrs. Brenda K Martin, LCSW MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 127 N Green St, Statesville, NC 28677 Phone: 704-873-7816 Fax: 704-873-7817
Maggie Rose Timmerman, LCSW-A Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 636 Signal Hill Drive Ext, Statesville, NC 28625 Phone: 704-871-2992
Caitlin Josey Stephens, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2347 Simonton Rd, Statesville, NC 28625 Phone: 704-873-4719

Mrs Latasha Michelle Ellis, LCSW - Medicare Clinical Social Worker in Statesville, NC