Dawn Marie Ellis, LICSW, LADC in Thief River Falls, MN - Medicare Clinical Social Worker Provider

Dawn Marie Ellis, LICSW, LADC is a medicare enrolled "Counselor - Professional" provider in Thief River Falls, Minnesota. She graduated from healthcare school in 1995 and has 29 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Sanford Health Network North and her current practice location is 120 Labree Ave S, Thief River Falls, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 683-4349.

Dawn Marie Ellis is licensed to practice in Minnesota (license number 3719) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790275196.

Contact Information

	Dawn Marie Ellis, LICSW, LADC
	120 Labree Ave S, Thief River Falls, MN 56701-2819
	(218) 683-4349
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dawn Marie Ellis
Gender	Female
Speciality	Clinical Social Worker
Experience	29 Years
Location	120 Labree Ave S, Thief River Falls, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dawn Marie Ellis graduated from medical school in 1995

NPI Data:

NPI Number: 1790275196
Provider Enumeration Date: 05/11/2018
Last Update Date: 05/11/2018

Medicare PECOS Information:

PECOS PAC ID: 3870842800
Enrollment ID: I20180823002061

Medical Identifiers

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

Identifier	Type	State	Issuer
1790275196	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	3719 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sanford Medical Center Thief River Falls	Thief river falls, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sanford Health Network North	8022206663	85

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. Dawn Marie Ellis allows following entities to bill medicare on her behalf.

Entity Name	Sanford Health Network North
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386047355 PECOS PAC ID: 8022206663 Enrollment ID: O20180205002429

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. Dawn Marie 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
Dawn Marie Ellis, LICSW, LADC 10510 State Highway 32 Ne, Thief River Falls, MN 56701-8419 Ph: (218) 686-0724	Dawn Marie Ellis, LICSW, LADC 120 Labree Ave S, Thief River Falls, MN 56701-2819 Ph: (218) 683-4349

Reviews and Comments

Counselor in Thief River Falls, MN

Mr. Mark Andre Dupont, MA LP LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Labree Ave S, Thief River Falls, MN 56701 Phone: 763-544-1308
Miranda Elizabeth Solem, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Labree Ave S, Thief River Falls, MN 56701 Phone: 218-683-4354
Emily Jane Schuster, ADC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 213 Labree Ave N, Thief River Falls, MN 56701 Phone: 218-681-5048
Nicole Marie Brandt, LGSW, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 213 Labree Ave N Ste 100, Thief River Falls, MN 56701 Phone: 218-683-5141
Hillary Grace Hittner, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 419 3rd St E, Thief River Falls, MN 56701 Phone: 218-755-5050
Trell Ann Kulju, MA, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Labree Ave S, Thief River Falls, MN 56701 Phone: 218-683-4351 Fax: 218-683-4362
Stacy Mae Carlson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Labree Ave S, Thief River Falls, MN 56701 Phone: 218-683-4318 Fax: 218-683-4515

Dawn Marie Ellis, LICSW, LADC - Medicare Counselor in Thief River Falls, MN