Earl Edward Ellis, MED, LPA in Elizabethtown, KY - Medicare Psychologist Provider

Earl Edward Ellis, MED, LPA is a medicare enrolled "Psychologist" provider in Elizabethtown, Kentucky. His current practice location is 890 Rineyville Rd, Elizabethtown, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 234-9236.

Earl Edward Ellis is licensed to practice in Kentucky (license number 0952) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013111459.

Contact Information

	Earl Edward Ellis, MED, LPA
	890 Rineyville Rd, Elizabethtown, KY 42701-8927
	(270) 234-9236
	(270) 234-8367

Map and Direction

Healthcare Provider's Profile

Full Name	Earl Edward Ellis
Gender	Male
Speciality	Psychologist
Location	890 Rineyville Rd, Elizabethtown, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013111459
Provider Enumeration Date: 06/11/2007
Last Update Date: 08/29/2013

Medicare PECOS Information:

PECOS PAC ID: 1557608866
Enrollment ID: I20190124001944

Medical Identifiers

Medical identifiers for Earl Edward Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013111459	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	0952 (Kentucky)	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. Earl Edward Ellis allows following entities to bill medicare on his behalf.

Entity Name	Commonwealth Of Kentucky
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114346467 PECOS PAC ID: 0840180816 Enrollment ID: O20040316000438

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. Earl Edward 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
Earl Edward Ellis, MED, LPA 890 Rineyville Rd, Elizabethtown, KY 42701-8927 Ph: (270) 234-9236	Earl Edward Ellis, MED, LPA 890 Rineyville Rd, Elizabethtown, KY 42701-8927 Ph: (270) 234-9236

Reviews and Comments

Psychologist in Elizabethtown, KY

Margaret Dubicki, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 915 Memorial Ct, Elizabethtown, KY 42701 Phone: 270-765-6709 Fax: 270-769-3779
Dr. Nicholas Watters, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 240 W Dixie,, Suite 5-b, Elizabethtown, KY 42701 Phone: 270-401-4107 Fax: 270-209-0872
Lisa Cheney, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 915 Memorial Ct, Elizabethtown, KY 42701 Phone: 270-765-6709 Fax: 270-769-3779
Dr. Robert Louis Lippman, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 204 N Main St, Elizabethtown, KY 42701 Phone: 279-769-2804 Fax: 270-360-0333
Lisa Nelson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 890 Rineyville Rd, Elizabethtown, KY 42701 Phone: 270-234-0577 Fax: 270-234-8367
Mr. Richard Applegate, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 820 New Glendale Rd, Elizabethtown, KY 42701 Phone: 270-766-5283 Fax: 270-766-5287

Earl Edward Ellis, MED, LPA - Medicare Psychologist in Elizabethtown, KY