Tina Marie Elliott, LCSW in Marion, IN - Medicare Social Worker Provider

Tina Marie Elliott, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Marion, Indiana. Her current practice location is 101 S Washington St, Marion, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 662-9971.

Tina Marie Elliott is licensed to practice in Indiana (license number 34010409A) 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 1700418969.

Contact Information

	Tina Marie Elliott, LCSW
	101 S Washington St, Marion, IN 46952-3867
	(765) 662-9971
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tina Marie Elliott
Gender	Female
Speciality	Social Worker - Clinical
Location	101 S Washington St, Marion, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700418969
Provider Enumeration Date: 02/06/2020
Last Update Date: 02/12/2025

Medicare PECOS Information:

PECOS PAC ID: 4082072418
Enrollment ID: I20230616001857

Medical Identifiers

Medical identifiers for Tina Marie Elliott such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700418969	NPI	-	NPPES
6801118992	Other	MI	MASTERS SOCIAL WORKER LICENSE CLINICAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	34010409A (Indiana)	Primary
104100000X	Social Worker	33009565A (Indiana)	Secondary
1041C0700X	Social Worker - Clinical	6801118992 (Michigan)	Secondary

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. Tina Marie Elliott allows following entities to bill medicare on her behalf.

Entity Name	Grant-blackford Mental Health, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407848500 PECOS PAC ID: 9739177528 Enrollment ID: O20040607001089

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. Tina Marie Elliott 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
Tina Marie Elliott, LCSW 15366 S Dixie Hwy, Monroe, MI 48161-3773 Ph: (734) 210-1071	Tina Marie Elliott, LCSW 101 S Washington St, Marion, IN 46952-3867 Ph: (765) 662-9971

Reviews and Comments

Social Worker in Marion, IN

Mr. Stephen Edgar Sheets, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1700 E 38th St, Attn: Social Work, Marion, IN 46953 Phone: 800-498-8792
Jeanette R Hoeksema, PSYD Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1391 N Baldwin Ave Ste 200, Marion, IN 46952 Phone: 765-660-7900 Fax: 765-671-7751
Jennifer K Queen-russell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 505 N Wabash Ave, Marion, IN 46952 Phone: 765-662-3971 Fax: 765-662-6726
Sheri Proffitt, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 505 N Wabash Ave, Marion, IN 46952 Phone: 765-662-3971 Fax: 765-668-6718
Benjamin C Keplar, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1700 E 38th St, Marion, IN 46953 Phone: 765-674-3321 Fax: 765-677-5117
Sarah Albert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 505 N Wabash Ave, Marion, IN 46952 Phone: 765-662-3971 Fax: 765-668-6726
Mr. Robert M. Taylor, LCSW, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1700 E 38th St, Marion, IN 46953 Phone: 765-674-3321 Fax: 765-677-5151

Tina Marie Elliott, LCSW - Medicare Clinical Social Worker in Marion, IN