Kimberly Ellingson, LMHC in Waterloo, IA - Medicare Counselor Provider

Kimberly Ellingson, LMHC is a medicare enrolled "Counselor" provider in Waterloo, Iowa. Her current practice location is 2750 Saint Francis Dr, Waterloo, Iowa. You can reach out to her office (for appointments etc.) via phone at (319) 272-8922.

Kimberly Ellingson is licensed to practice in Iowa (license number 001318) 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 1922312412.

Contact Information

	Kimberly Ellingson, LMHC
	2750 Saint Francis Dr, Waterloo, IA 50702-5644
	(319) 272-8922
	(319) 272-8929

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Ellingson
Gender	Female
Speciality	Counselor
Location	2750 Saint Francis Dr, Waterloo, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922312412
Provider Enumeration Date: 07/27/2010
Last Update Date: 11/22/2021

Medicare PECOS Information:

PECOS PAC ID: 4981054822
Enrollment ID: I20231219001578

Medical Identifiers

Medical identifiers for Kimberly Ellingson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922312412	NPI	-	NPPES
074575	Medicaid	IA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	001318 (Iowa)	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. Kimberly Ellingson allows following entities to bill medicare on her behalf.

Entity Name	Covenant Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548288160 PECOS PAC ID: 0244148732 Enrollment ID: O20031111000534

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. Kimberly Ellingson 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
Kimberly Ellingson, LMHC 2750 Saint Francis Dr, Waterloo, IA 50702-5644 Ph: (192) 728-9223	Kimberly Ellingson, LMHC 2750 Saint Francis Dr, Waterloo, IA 50702-5644 Ph: (319) 272-8922

Reviews and Comments

Counselor in Waterloo, IA

Eugene Barnhart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 607 Sycamore St, Waterloo, IA 50703 Phone: 319-232-5363
Mr. Daniel Joe Olson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 829 Nancy Rd, Waterloo, IA 50701 Phone: 319-290-6330
Jim Hoeft, Counselor Medicare: Not Enrolled in Medicare Practice Location: 905 Franklin St, Waterloo, IA 50703 Phone: 319-272-4300
Mrs. Hilary Pates, LMHC, CADC Counselor Medicare: Medicare Enrolled Practice Location: 2710 Saint Francis Dr, Waterloo, IA 50702 Phone: 319-272-8922
Mrs. Janet Marie Riley, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 W Mullan Ave, Waterloo, IA 50701 Phone: 319-234-4625 Fax: 319-234-4625
Mr. David Moore, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1135 Lantern Sq Apt 5, Waterloo, IA 50701 Phone: 319-800-5564
Kelsey Leigh Cain, BSW, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3362 University Ave, Waterloo, IA 50701 Phone: 319-235-6571

Kimberly Ellingson, LMHC - Medicare Counselor in Waterloo, IA