Jaclynn E Ellis, LISW in Youngstown, OH - Medicare Social Worker Provider

Jaclynn E Ellis, LISW is a medicare enrolled "Social Worker - Clinical" provider in Youngstown, Ohio. Her current practice location is 527 N Meridian Rd, Youngstown, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 797-0070.

Jaclynn E Ellis is licensed to practice in Ohio (license number I.2304667) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174107270.

Contact Information

	Jaclynn E Ellis, LISW
	527 N Meridian Rd, Youngstown, OH 44509-1227
	(330) 797-0070
	(330) 797-9146

Map and Direction

Healthcare Provider's Profile

Full Name	Jaclynn E Ellis
Gender	Female
Speciality	Social Worker - Clinical
Location	527 N Meridian Rd, Youngstown, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174107270
Provider Enumeration Date: 05/06/2021
Last Update Date: 07/27/2023

Medicare PECOS Information:

PECOS PAC ID: 8921460858
Enrollment ID: I20230809002862

Medical Identifiers

Medical identifiers for Jaclynn E Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174107270	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I.2304667 (Ohio)	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. Jaclynn E Ellis allows following entities to bill medicare on her behalf.

Entity Name	Meridian Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356307235 PECOS PAC ID: 3779553995 Enrollment ID: O20040727000602

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. Jaclynn E 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
Jaclynn E Ellis, LISW 527 N Meridian Rd, Youngstown, OH 44509-1227 Ph: (330) 797-0070	Jaclynn E Ellis, LISW 527 N Meridian Rd, Youngstown, OH 44509-1227 Ph: (330) 797-0070

Reviews and Comments

Social Worker in Youngstown, OH

Marisa D Mook, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8440 Market St, Youngstown, OH 44512 Phone: 330-965-9999 Fax: 330-757-0000
Adreanna Shonelle Mendenhall, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8440 Market St, Youngstown, OH 44512 Phone: 330-965-9999 Fax: 330-757-0000
Desiree J Farragher, MSW, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2980 Belmont Ave, Youngstown, OH 44505 Phone: 330-759-2310 Fax: 330-759-0018
Shannon Marie Regano, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1434 Turnberry Dr, Youngstown, OH 44512 Phone: 330-719-9052
Miss Kelsey Rae Mcclain, MSW,LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-8015 Fax: 330-480-4398
Marcia M Deascentis, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7620 Market St Ste 2, Youngstown, OH 44512 Phone: 330-793-2487 Fax: 330-743-5748

Jaclynn E Ellis, LISW - Medicare Clinical Social Worker in Youngstown, OH