Mr Kerry Ellis, LCSW-C in Millersville, MD - Medicare Social Worker Provider

Mr Kerry Ellis, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in Millersville, Maryland. His current practice location is 1111 Benfield Blvd Ste 104, Millersville, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 714-2626.

Mr Kerry Ellis is licensed to practice in Maryland (license number 20829) 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 1134631757.

Contact Information

	Mr Kerry Ellis, LCSW-C
	1111 Benfield Blvd Ste 104, Millersville, MD 21108-3003
	(410) 714-2626
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kerry Ellis
Gender	Male
Speciality	Social Worker - Clinical
Location	1111 Benfield Blvd Ste 104, Millersville, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134631757
Provider Enumeration Date: 11/05/2017
Last Update Date: 11/05/2017

Medicare PECOS Information:

PECOS PAC ID: 6305101528
Enrollment ID: I20180517001310

Medical Identifiers

Medical identifiers for Mr Kerry Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134631757	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	20829 (Maryland)	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. Mr Kerry Ellis allows following entities to bill medicare on his behalf.

Entity Name	Luminis Health Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073580205 PECOS PAC ID: 2860447315 Enrollment ID: O20050317000146

Entity Name	Changing Patterns Psychotherapy Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134893522 PECOS PAC ID: 6204214562 Enrollment ID: O20220528000004

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. Mr Kerry 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
Mr Kerry Ellis, LCSW-C 260a Hilltop Ln Apt 102, Annapolis, MD 21403-5809 Ph: (410) 714-2626	Mr Kerry Ellis, LCSW-C 1111 Benfield Blvd Ste 104, Millersville, MD 21108-3003 Ph: (410) 714-2626

Reviews and Comments

Social Worker in Millersville, MD

Suzanne Matty, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8258 Veterans Hwy, Suite 13, Millersville, MD 21108 Phone: 410-768-6088 Fax: 410-768-6444
Mrs. Anna Marie Smith, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1111 Benfield Blvd Ste 104, Millersville, MD 21108 Phone: 667-600-2468 Fax: 667-600-4061
Amanda Richardson, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8258 Veterans Hwy, Suite 13, Millersville, MD 21108 Phone: 410-768-6088 Fax: 410-768-6444
Aden Urbaniak, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1111 Benfield Blvd, Millersville, MD 21108 Phone: 667-600-2494
Alison Jones, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1114 Benfield Blvd Ste G, Millersville, MD 21108 Phone: 410-780-5203 Fax: 410-987-4301
Ms. Victoria Elaine Wilson, LCSWC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1110 Benfield Blvd Suite H, Severna Park Professional Counseling Center, Millersville, MD 21108 Phone: 410-987-5048 Fax: 410-987-4710
Erin K Oczkowski, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8258 Veterans Hwy Ste 13, Millersville, MD 21108 Phone: 410-768-6088 Fax: 410-768-6444

Mr Kerry Ellis, LCSW-C - Medicare Clinical Social Worker in Millersville, MD