Alice C Ellermets, LSW is a medicare enrolled "Social Worker - Clinical" provider in Champaign, Illinois. Her current practice location is
1802 S Mattis Ave, Champaign, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 383-1850.
Alice C Ellermets is licensed to practice in * (Not Available) (license number ) 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 1699329268.
Healthcare Provider's Profile
| Full Name | Alice C Ellermets |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1802 S Mattis Ave, Champaign, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1699329268
- Provider Enumeration Date: 07/31/2019
- Last Update Date: 03/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 0446620074
- Enrollment ID: I20221223000026
Medical Identifiers
Medical identifiers for Alice C Ellermets such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699329268 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | 150-103578 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Alice C Ellermets allows following entities to bill medicare on her behalf.
| Entity Name | Carle Health Care Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154653947
PECOS PAC ID: 3577515774
Enrollment ID: O20100513000829 |
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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. Alice C Ellermets 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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Alice C Ellermets, LSW
611 W. Park St., Fapc,
Urbana, IL 61801
Ph: () - | Alice C Ellermets, LSW
1802 S Mattis Ave,
Champaign, IL 61821-5923
Ph: (217) 383-1850 |
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