Audrene Ellis, PHD in Little Rock, AR - Medicare Counselor Provider

Audrene Ellis, PHD is a medicare enrolled "Counselor - Professional" provider in Little Rock, Arkansas. Her current practice location is 101 N Woodrow St, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 265-0046.

Audrene Ellis is licensed to practice in Arkansas (license number P2211007) 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 1366105207.

Contact Information

	Audrene Ellis, PHD
	101 N Woodrow St, Little Rock, AR 72205-4341
	(501) 265-0046
	(501) 663-2234

Map and Direction

Healthcare Provider's Profile

Full Name	Audrene Ellis
Gender	Female
Speciality	Counselor - Professional
Location	101 N Woodrow St, Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366105207
Provider Enumeration Date: 10/18/2021
Last Update Date: 01/31/2024

Medicare PECOS Information:

PECOS PAC ID: 9537506951
Enrollment ID: I20240321001021

Medical Identifiers

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

Identifier	Type	State	Issuer
1366105207	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	P2211007 (Arkansas)	Secondary
101YP2500X	Counselor - Professional	P2211007 (Arkansas)	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. Audrene Ellis allows following entities to bill medicare on her behalf.

Entity Name	Wellspring Renewal Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053833939 PECOS PAC ID: 1254778897 Enrollment ID: O20240319002191

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. Audrene 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
Audrene Ellis, PHD 101 N Woodrow St, Little Rock, AR 72205-4341 Ph: (501) 265-0046	Audrene Ellis, PHD 101 N Woodrow St, Little Rock, AR 72205-4341 Ph: (501) 265-0046

Reviews and Comments

Counselor in Little Rock, AR

Charlie Simpson Iii, LAMFT, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 Shackleford Plz Ste 100, Little Rock, AR 72211 Phone: 501-313-1185
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Mrs. Adrienne Reeves, L.P.E. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Aldersgate Rd, Little Rock, AR 72205 Phone: 501-821-5459 Fax: 501-821-6116
David Laser Jr., BS, MBA, CIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3700 W 65th St, Little Rock, AR 72209 Phone: 479-806-0469
Crystal Goins, QBHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 20400 Colonel Glenn Rd, Little Rock, AR 72210 Phone: 501-821-5500
Abigail Campbell, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Lile Ct Ste 200, Little Rock, AR 72205 Phone: 479-964-2011

Audrene Ellis, PHD - Medicare Counselor in Little Rock, AR