Jason Ellis, is a
Social Worker - Clinical based in Lake Elsinore, California. Jason Ellis is licensed to practice in NU (license number ) and his current practice location is
31764 Casino Dr Ste 300, Lake Elsinore, California. He can be reached at his office (for appointments etc.) via phone at
(951) 471-4645.
NPI number for Jason Ellis is 1578924858 and his current mailing address is 31764 Casino Dr Ste 300, Lake Elsinore, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578924858.
Healthcare Provider's Profile
| Full Name | Jason Ellis |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 31764 Casino Dr Ste 300, Lake Elsinore, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578924858
- Provider Enumeration Date: 03/14/2016
- Last Update Date: 04/16/2024
Medical Identifiers
Medical identifiers for Jason Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1578924858 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| 175T00000X | Peer Specialist | (NU) | Secondary |
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. Jason Ellis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jason Ellis, 31764 Casino Dr Ste 300, Lake Elsinore, CA 92530-2312 Ph: (951) 471-4645 | Jason Ellis, 31764 Casino Dr Ste 300, Lake Elsinore, CA 92530-2312 Ph: (951) 471-4645 |
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