Angela Sue Ellison, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Flatwoods, Kentucky. She graduated from medical school in 2009 and has 16 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Lifesource Of North Carolina, Lifesource Of North Carolina and her current practice location is
1527 Valley Dr, Flatwoods, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 465-3245.
Angela Sue Ellison is licensed to practice in Kentucky (license number 254396) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871134999.
Healthcare Provider's Profile
| Full Name | Angela Sue Ellison |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 16 Years |
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| Location | 1527 Valley Dr, Flatwoods, Kentucky |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Angela Sue Ellison graduated from medical school in 2009
NPI Data:
- NPI Number: 1871134999
- Provider Enumeration Date: 09/30/2019
- Last Update Date: 11/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 0446684856
- Enrollment ID: I20191217003369
Medical Identifiers
Medical identifiers for Angela Sue Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1871134999 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 254396 (Kentucky) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Lifesource Of North Carolina | 7416132428 | 163 |
| Lifesource Of North Carolina | 7416132428 | 163 |
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. Angela Sue Ellison allows following entities to bill medicare on her behalf.
| Entity Name | Lifesource Of North Carolina |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619515277 PECOS PAC ID: 7416132428 Enrollment ID: O20200212002188 |
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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. Angela Sue Ellison 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 |
Angela Sue Ellison, LCSW 1527 Valley Dr, Flatwoods, KY 41139-1889 Ph: (606) 465-3245 | Angela Sue Ellison, LCSW 1527 Valley Dr, Flatwoods, KY 41139-1889 Ph: (606) 465-3245 |
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