Ellya Indradjaja, LMHC in Astoria, NY - Medicare Mental Health Counselor Provider

Ellya Indradjaja, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Astoria, New York. She graduated from healthcare school in 2018 and has 7 years of diverse experience with area of expertise as Mental Health Counselor. Her current practice location is 3089 31st St Apt 1, Astoria, New York. You can reach out to her office (for appointments etc.) via phone at (646) 377-9724.

Ellya Indradjaja is licensed to practice in New York (license number 011692) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1659024867.

Contact Information

	Ellya Indradjaja, LMHC
	3089 31st St Apt 1, Astoria, NY 11102-1975
	(646) 377-9724
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ellya Indradjaja
Gender	Female
Speciality	Mental Health Counselor
Experience	7 Years
Location	3089 31st St Apt 1, Astoria, New York
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ellya Indradjaja graduated from medical school in 2018

NPI Data:

NPI Number: 1659024867
Provider Enumeration Date: 01/27/2022
Last Update Date: 01/27/2022

Medicare PECOS Information:

PECOS PAC ID: 5193246346
Enrollment ID: I20250305000616

Medical Identifiers

Medical identifiers for Ellya Indradjaja such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659024867	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	011692 (New York)	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. Ellya Indradjaja allows following entities to bill medicare on her behalf.

Entity Name	Mental Health Specialty Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240621000315

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. Ellya Indradjaja 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
Ellya Indradjaja, LMHC 3089 31st St Apt 1, Astoria, NY 11102-1975 Ph: (646) 377-9724	Ellya Indradjaja, LMHC 3089 31st St Apt 1, Astoria, NY 11102-1975 Ph: (646) 377-9724

Reviews and Comments

Counselor in Astoria, NY

Edlira Daljani, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2131 25th Rd, Astoria, NY 11102 Phone: 917-873-0655
Katheryn Soleil, LP Counselor Medicare: Not Enrolled in Medicare Practice Location: 3318 24th Ave Fl 2, Astoria, NY 11103 Phone: 347-545-8145
Evangelos Anastasios Samaras, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2246 31st St Rear House, Astoria, NY 11105 Phone: 718-427-0361
Sacha Sidfield, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3203 Steinway St Apt 43c, Astoria, NY 11103 Phone: 831-768-0941
Dr. Laura Wood, PH.D, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2360 23rd St, Astoria, NY 11105 Phone: 917-362-1377
Jennifer Varley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2575 33rd St - Apt A6, Astoria, NY 11102 Phone: 631-806-4298
Vanessa Elizabeth Proano Ron, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3636 33rd St, Astoria, NY 11106 Phone: 718-426-8110

Ellya Indradjaja, LMHC - Medicare Counselor in Astoria, NY