Mr Monte Dunn Ellis, LPC, CSAT in Hattiesburg, MS

Mr Monte Dunn Ellis, LPC, CSAT is a medicare enrolled "Counselor - Professional" provider in Hattiesburg, Mississippi. His current practice location is 102 Medical Park Ste B, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 261-1650.

Mr Monte Dunn Ellis is licensed to practice in Mississippi (license number 3163) 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 1902510985.

Contact Information

	Mr Monte Dunn Ellis, LPC, CSAT
	102 Medical Park Ste B, Hattiesburg, MS 39401-9080
	(601) 261-1650
	(601) 545-1740

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Monte Dunn Ellis
Gender	Male
Speciality	Counselor - Professional
Location	102 Medical Park Ste B, Hattiesburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902510985
Provider Enumeration Date: 01/13/2023
Last Update Date: 04/29/2025

Medicare PECOS Information:

PECOS PAC ID: 4981120037
Enrollment ID: I20250501000886

Medical Identifiers

Medical identifiers for Mr Monte Dunn Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902510985	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	ALC04160 (Alabama)	Secondary
101YP2500X	Counselor - Professional	3163 (Mississippi)	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. Mr Monte Dunn Ellis allows following entities to bill medicare on his behalf.

Entity Name	Hattiesburg Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685

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 Monte Dunn 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 Address	Practice Location Address
Mr Monte Dunn Ellis, LPC, CSAT 3140 Sunny Meadows Ln, Birmingham, AL 35242-3434 Ph: (601) 616-8036	Mr Monte Dunn Ellis, LPC, CSAT 102 Medical Park Ste B, Hattiesburg, MS 39401-9080 Ph: (601) 261-1650

Reviews and Comments

Counselor in Hattiesburg, MS

Frances L Miller, CMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4100 Mamie St, Hattiesburg, MS 39402 Phone: 601-705-1901
Blythe B Mccance, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 Medical Park Ste B, Hattiesburg, MS 39401 Phone: 601-261-1650 Fax: 601-545-1740
Cari Ann Gaunt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 W Pine St Ste C, Hattiesburg, MS 39401 Phone: 601-466-9296
Sabrina Nicole Barnes, PSS Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Woodstone Plz Ste D, Hattiesburg, MS 39402 Phone: 769-390-7234
Phyllis A Grinstead, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4001 Mamie St, Hattiesburg, MS 39402 Phone: 601-705-1901
Ms. Amy Ricedorf, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4507 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-545-2925 Fax: 601-545-2926
Jessica Robinett, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 W Pine St, Hattiesburg, MS 39401 Phone: 601-268-8796

Mr Monte Dunn Ellis, LPC, CSAT - Medicare Counselor in Hattiesburg, MS