Elissa Samuels, LCPC is a medicare enrolled "Counselor - Professional" provider in Emmitsburg, Maryland. She graduated from healthcare school in 2007 and has 18 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Life Change Therapy Now Llc and her current practice location is
9701 Keysville Rd, Us Route 15 And Keysville Road, Emmitsburg, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 447-2361.
Elissa Samuels is licensed to practice in Maryland (license number LC3747) 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 1699194282.
Healthcare Provider's Profile
| Full Name | Elissa Samuels |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 18 Years |
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| Location | 9701 Keysville Rd, Emmitsburg, Maryland |
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| 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:
- Elissa Samuels graduated from medical school in 2007
NPI Data:
- NPI Number: 1699194282
- Provider Enumeration Date: 04/10/2014
- Last Update Date: 04/10/2014
Medicare PECOS Information:
- PECOS PAC ID: 2163962580
- Enrollment ID: I20240911002995
Medical Identifiers
Medical identifiers for Elissa Samuels such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1699194282 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | LC3747 (Maryland) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Life Change Therapy Now Llc | 4284010117 | 5 |
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. Elissa Samuels allows following entities to bill medicare on her behalf.
| Entity Name | Life Change Therapy Now Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780121392 PECOS PAC ID: 4284010117 Enrollment ID: O20220930000074 |
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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. Elissa Samuels 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 |
Elissa Samuels, LCPC Po Box 136, 9701 Keysville Road, Us Route 15 And Keysville Road, Emmitsburg, MD 21727-0136 Ph: (301) 447-2361 | Elissa Samuels, LCPC 9701 Keysville Rd, Us Route 15 And Keysville Road, Emmitsburg, MD 21727-8619 Ph: (301) 447-2361 |
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