Kevin Dayton Ellis, LICDC - Medicare Counselor in Ashtabula, OH

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Kevin Dayton Ellis, LICDC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Ashtabula, Ohio. He graduated from healthcare school in 2018 and has 8 years of diverse experience with area of expertise as Mental Health Counselor. His current practice location is 2801 C Ct, Ashtabula, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 998-0722.

Kevin Dayton Ellis is licensed to practice in Ohio (license number 161600) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1598272437.

Contact Information

Kevin Dayton Ellis, LICDC
2801 C Ct,
Ashtabula, OH 44004-4577
(440) 998-0722
(440) 992-1699

Map and Direction


Healthcare Provider's Profile

Full NameKevin Dayton Ellis
GenderMale
SpecialityMental Health Counselor
Experience8 Years
Location2801 C Ct, Ashtabula, Ohio
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kevin Dayton Ellis graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1598272437
  • Provider Enumeration Date: 12/31/2017
  • Last Update Date: 12/31/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7315419819
  • Enrollment ID: I20260616002153

Medical Identifiers

Medical identifiers for Kevin Dayton Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598272437NPI-NPPES
161600OtherOHOHIO CHEMICAL DEPENDENCY PROFESSIONALS BOARD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 161600 (Ohio)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. Kevin Dayton Ellis allows following entities to bill medicare on his behalf.
Entity NameLake Area Recovery Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649332438
PECOS PAC ID: 0547731259
Enrollment ID: O20260603003365

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. Kevin Dayton 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
Kevin Dayton Ellis, LICDC
2009 E Prospect Rd,
Ashtabula, OH 44004-5337

Ph: (440) 812-2552		Kevin Dayton Ellis, LICDC
2801 C Ct,
Ashtabula, OH 44004-4577

Ph: (440) 998-0722

Reviews and Comments


Counselor in Ashtabula, OH

Karen Fronczak,
Counselor
Medicare: Medicare Enrolled
Practice Location: 2801 C Ct, Ashtabula, OH 44004
Phone: 440-998-4210    Fax: 440-998-2247
Kayla Frye,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2801 C Ct, Ashtabula, OH 44004
Phone: 440-998-0722    
Jason Robert Carmody,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2210 S Ridge Rd E, Ashtabula, OH 44004
Phone: 513-834-7063    
Haylee Mcmahon, CDCA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2801 C Ct, Ashtabula, OH 44004
Phone: 440-998-4210    
Cali Faye Marie Richardson,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2801 C Ct, Ashtabula, OH 44004
Phone: 440-998-4210    
Christopher Cope,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 3418 Lake Ave, Ashtabula, OH 44004
Phone: 440-650-5030    
Carlen Pittman, CDCA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 3418 Lake Ave, Ashtabula, OH 44004
Phone: 440-650-5030    

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.