Peter Ellison, LPC, CCDP-D in Breinigsville, PA

Peter Ellison, LPC, CCDP-D is a medicare enrolled "Counselor - Professional" provider in Breinigsville, Pennsylvania. His current practice location is 628 Twin Ponds Rd, Breinigsville, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (484) 263-0197.

Peter Ellison is licensed to practice in Pennsylvania (license number PC008997) 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 1831646066.

Contact Information

	Peter Ellison, LPC, CCDP-D
	628 Twin Ponds Rd, Breinigsville, PA 18031-1843
	(484) 263-0197
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Peter Ellison
Gender	Male
Speciality	Counselor - Professional
Location	628 Twin Ponds Rd, Breinigsville, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831646066
Provider Enumeration Date: 09/06/2016
Last Update Date: 04/09/2025

Medicare PECOS Information:

PECOS PAC ID: 1153766795
Enrollment ID: I20240305002078

Medical Identifiers

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

Identifier	Type	State	Issuer
1831646066	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	PC008997 (Pennsylvania)	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. Peter Ellison allows following entities to bill medicare on his behalf.

Entity Name	Nulton Diagnostic &treatment Center, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073573010 PECOS PAC ID: 5294621363 Enrollment ID: O20040225000665

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. Peter 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
Peter Ellison, LPC, CCDP-D 628 Twin Ponds Rd, Breinigsville, PA 18031-1843 Ph: (484) 263-0197	Peter Ellison, LPC, CCDP-D 628 Twin Ponds Rd, Breinigsville, PA 18031-1843 Ph: (484) 263-0197

Reviews and Comments

Counselor in Breinigsville, PA

Melissa Ditaranto, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 628 Twin Ponds Rd, Breinigsville, PA 18031 Phone: 484-263-0197
Holly Ann Mullen, MSW, LSW Counselor Medicare: Medicare Enrolled Practice Location: 9636 Crescent Ln # 2, Breinigsville, PA 18031 Phone: 484-866-7218 Fax: 484-866-7218
Waded Baquerizo Mahuad, M.A. Counselor Medicare: Medicare Enrolled Practice Location: 628 Twin Ponds Rd, Breinigsville, PA 18031 Phone: 484-263-0197
Henrietta Anne Soogoff, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1063 Mosser Rd Apt D104, Breinigsville, PA 18031 Phone: 949-282-3344
Roslyn Debbie Birnbaum, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 628 Twin Ponds Rd, Breinigsville, PA 18031 Phone: 484-263-0197
Suzanne Carol Hastie, MA,BC-DMT,NCC,LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 628 Twin Ponds Rd, Breinigsville, PA 18031 Phone: 610-417-0831 Fax: 484-221-8586
Jody Riscen, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1063 Mosser Rd Apt S205, Breinigsville, PA 18031 Phone: 570-236-4581

Peter Ellison, LPC, CCDP-D - Medicare Counselor in Breinigsville, PA