Kenneth R Ellis, PHD in Columbia, MD - Medicare Clinical Psychologist Provider

Kenneth R Ellis, PHD is a medicare enrolled "Psychologist - Counseling" provider in Columbia, Maryland. He graduated from medical school in 1969 and has 55 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Columbia Counseling Center Pa and his current practice location is 5525 Twin Knolls Rd, Suite 327, Columbia, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 992-9149.

Kenneth R Ellis is licensed to practice in Maryland (license number 1003) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215017694.

Contact Information

	Kenneth R Ellis, PHD
	5525 Twin Knolls Rd, Suite 327, Columbia, MD 21045-3266
	(410) 992-9149
	(410) 992-9921

Map and Direction

Healthcare Provider's Profile

Full Name	Kenneth R Ellis
Gender	Male
Speciality	Clinical Psychologist
Experience	55 Years
Location	5525 Twin Knolls Rd, Columbia, Maryland
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kenneth R Ellis graduated from medical school in 1969

NPI Data:

NPI Number: 1215017694
Provider Enumeration Date: 10/17/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7911939996
Enrollment ID: I20110202000068

Medical Identifiers

Medical identifiers for Kenneth R Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215017694	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	1003 (Maryland)	Primary
103TC1900X	Psychologist - Counseling	PY4750 (Florida)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Columbia Counseling Center Pa	9931198843	9

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. Kenneth R Ellis allows following entities to bill medicare on his behalf.

Entity Name	Columbia Counseling Center Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578504296 PECOS PAC ID: 9931198843 Enrollment ID: O20040506001676

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. Kenneth R 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
Kenneth R Ellis, PHD 5525 Twin Knolls Rd, Suite 327, Columbia, MD 21045-3266 Ph: (410) 992-9149	Kenneth R Ellis, PHD 5525 Twin Knolls Rd, Suite 327, Columbia, MD 21045-3266 Ph: (410) 992-9149

Reviews and Comments

Psychologist in Columbia, MD

Dr. Aimee E Mccullough, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 9881 Brokenland Pkwy, 105, Columbia, MD 21046 Phone: 808-372-7002 Fax: 808-372-7002
Dr. Barry S. Sternfeld, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10760 Hickory Ridge Rd, Suite 211, Columbia, MD 21044 Phone: 410-730-0737
Dr. Elinor Eden, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10715 Charter Drive, Suite 270, Columbia, MD 21044 Phone: 301-596-5535 Fax: 301-421-0010
Dr. John Michael Hayes, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10632 Little Patuxent Pkwy, Suite 308-a, Columbia, MD 21044 Phone: 410-730-0100
Dr. Jacqueline Shoshannah Iseman, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10796 Hickory Ridge Rd, Columbia, MD 21044 Phone: 410-730-8877
Mr. David Carroll Swain, LGPC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10715 Charter Dr Ste 130, Columbia, MD 21044 Phone: 443-653-1363
Julie A Morrison, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10440 Shaker Dr, Suite 209, Columbia, MD 21046 Phone: 410-952-9574 Fax: 443-403-2354

Kenneth R Ellis, PHD - Medicare Psychologist in Columbia, MD