Lavina Ellison, in Apple Valley, CA - Medicare Marriage & Family Therapist Provider

Lavina Ellison, is a medicare enrolled "Marriage & Family Therapist" provider in Apple Valley, California. Her current practice location is 10755 Apple Valley Rd, Apple Valley, California. You can reach out to her office (for appointments etc.) via phone at (760) 247-9840.

Lavina Ellison is licensed to practice in California (license number 138663) 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 1689103814.

Contact Information

	Lavina Ellison,
	10755 Apple Valley Rd, Apple Valley, CA 92308
	(760) 247-9840
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lavina Ellison
Gender	Female
Speciality	Marriage & Family Therapist
Location	10755 Apple Valley Rd, Apple Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689103814
Provider Enumeration Date: 06/10/2017
Last Update Date: 03/28/2025

Medicare PECOS Information:

PECOS PAC ID: 2466897723
Enrollment ID: I20240227002490

Medical Identifiers

Medical identifiers for Lavina Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689103814	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	(California)	Secondary
106H00000X	Marriage & Family Therapist	138663 (California)	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. Lavina Ellison allows following entities to bill medicare on her behalf.

Entity Name	High Desert Psychological Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104463371 PECOS PAC ID: 2860819125 Enrollment ID: O20200901001503

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. Lavina Ellison 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
Lavina Ellison, 16980 Nisqualli Rd Apt E103, Victorville, CA 92395-9622 Ph: (760) 876-9735	Lavina Ellison, 10755 Apple Valley Rd, Apple Valley, CA 92308 Ph: (760) 247-9840

Reviews and Comments

Marriage & Family Therapist in Apple Valley, CA

Angela Marie Rincon, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12555 Navajo Rd, Apple Valley, CA 92308 Phone: 760-247-8001
Mrs. Nancy Kay Hirst, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 16195 Siskiyou Rd, Suite 120-a, Apple Valley, CA 92307 Phone: 760-946-2070 Fax: 760-946-1511
Jean Voska, RNMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 16195 Siskiyou Rd, Suite 120a, Apple Valley, CA 92307 Phone: 760-946-2070 Fax: 760-946-1511
Mr. Bruce Gene Malcolm, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17800 Us Highway 18, Apple Valley, CA 92307 Phone: 760-255-1496
Darlene Irene Belisle, MS,LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17800 Us Highway 18, Apple Valley, CA 92307 Phone: 760-242-6336 Fax: 760-242-5363
Shelli Marie Flores, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17800 Us Highway 18, Apple Valley, CA 92307 Phone: 760-881-8025
Sandra M Carlson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17800 Us Highway 18, Apple Valley, CA 92307 Phone: 760-217-6437

Lavina Ellison, - Medicare Couples Therapy in Apple Valley, CA