Mr Ellis Hulse, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Largo, Florida. His current practice location is
2401 W Bay Dr, Ste 117, Largo, Florida. You can reach out to his office (for appointments etc.) via phone at
(516) 840-2468.
Mr Ellis Hulse is licensed to practice in Florida (license number SW12065) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1942487004.
Healthcare Provider's Profile
Full Name | Mr Ellis Hulse |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 2401 W Bay Dr, Largo, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1942487004
- Provider Enumeration Date: 01/30/2008
- Last Update Date: 12/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 1759515422
- Enrollment ID: I20141003001490
Medical Identifiers
Medical identifiers for Mr Ellis Hulse such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942487004 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 079962 (New York) | Secondary |
1041C0700X | Social Worker - Clinical | SW12065 (Florida) | Primary |
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. Mr Ellis Hulse 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 |
Mr Ellis Hulse, LCSW 3937 Morningside Ct, 93, Palm Harbor, FL 34684-4345 Ph: (516) 840-2468 | Mr Ellis Hulse, LCSW 2401 W Bay Dr, Ste 117, Largo, FL 33770-4902 Ph: (516) 840-2468 |
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