Heather Nicole Ellis, - Medicare Counselor in Princeton, WV

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Heather Nicole Ellis, is a medicare enrolled "Counselor" provider in Princeton, West Virginia. Her current practice location is 200 12th Street Ext, Princeton, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 425-9541.

Heather Nicole Ellis is licensed to practice in West Virginia (license number DP00944867) 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 1700349198.

Contact Information

Heather Nicole Ellis,
200 12th Street Ext,
Princeton, WV 24740-2329
(304) 425-9541
(304) 425-1332

Map and Direction


Healthcare Provider's Profile

Full NameHeather Nicole Ellis
GenderFemale
SpecialityCounselor
Location200 12th Street Ext, Princeton, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700349198
  • Provider Enumeration Date: 04/11/2019
  • Last Update Date: 04/11/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4789070590
  • Enrollment ID: I20220404002501

Medical Identifiers

Medical identifiers for Heather Nicole Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700349198NPI-NPPES
0005489001MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor DP00944867 (West Virginia)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. Heather Nicole Ellis allows following entities to bill medicare on her behalf.
Entity NameSouthern Highlands Community Mental Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740234673
PECOS PAC ID: 4486629235
Enrollment ID: O20040826000703

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. Heather Nicole 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 AddressPractice Location Address
Heather Nicole Ellis,
200 12th Street Ext,
Princeton, WV 24740-2329

Ph: (304) 425-9541		Heather Nicole Ellis,
200 12th Street Ext,
Princeton, WV 24740-2329

Ph: (304) 425-9541

Reviews and Comments


Counselor in Princeton, WV

Stacey Finley,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 106 Thorn St, Princeton, WV 24740
Phone: 304-314-7501    Fax: 304-936-6156
Ms. Twyla Mcguire Hersman, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 160 Undercliff Ter, Princeton, WV 24740
Phone: 304-425-6110    Fax: 304-487-6199
Khadijah Brown, BS, MA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 153 Springhaven Dr, Princeton, WV 24740
Phone: 304-818-2225    
Bruna M. Carchedi, MSW
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 200 12th Street Ext, Princeton, WV 24740
Phone: 304-425-9541    Fax: 304-425-1332
Olga M. Hurt, MSW
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 200 12th Street Ext, Princeton, WV 24740
Phone: 304-425-9541    Fax: 304-425-1332
Sandra Grim, MA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1609 W Main St, Princeton, WV 24740
Phone: 304-425-3430    Fax: 304-425-1648
Dr. Jerry Dean Gibson, M.A., ED.D. LPC, NCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 109 Thorn St Ste E, Princeton, WV 24740
Phone: 304-487-9996    Fax: 833-488-1901

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.