Ellen Wallace Mabe, is a medicare enrolled "Social Worker - Clinical" provider in Cheraw, South Carolina. She graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Caresouth Carolina Inc. and her current practice location is
812 State Rd, Cheraw, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 537-0961.
Ellen Wallace Mabe is licensed to practice in South Carolina (license number 10797) 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 1659785954.
Healthcare Provider's Profile
| Full Name | Ellen Wallace Mabe |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 12 Years |
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| Location | 812 State Rd, Cheraw, South Carolina |
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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. |
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Medical Education and Training:
- Ellen Wallace Mabe graduated from medical school in 2014
NPI Data:
- NPI Number: 1659785954
- Provider Enumeration Date: 06/13/2014
- Last Update Date: 03/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 9133345804
- Enrollment ID: I20140801001480
Medical Identifiers
Medical identifiers for Ellen Wallace Mabe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659785954 | NPI | - | NPPES |
| LW1023 | Medicaid | SC | |
| SCS392 | Other | | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 10797 (South Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Caresouth Carolina Inc. | 1052221314 | 56 |
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. Ellen Wallace Mabe allows following entities to bill medicare on her behalf.
| Entity Name | Caresouth Carolina Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720082571
PECOS PAC ID: 1052221314
Enrollment ID: O20040511000280 |
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| Entity Name | Sc House Calls Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518048859
PECOS PAC ID: 6800994807
Enrollment ID: O20070613000821 |
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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. Ellen Wallace Mabe 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 |
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Ellen Wallace Mabe,
Po Box 1090,
Hartsville, SC 29551-1090
Ph: (843) 857-0111 | Ellen Wallace Mabe,
812 State Rd,
Cheraw, SC 29520-7113
Ph: (843) 537-0961 |
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