Sharice Ellenwood, in Round Lake Beach, IL - Medicare Counselor Provider

Sharice Ellenwood, is a medicare enrolled "Counselor - Professional" provider in Round Lake Beach, Illinois. Her current practice location is 1087 N Village Dr, Round Lake Beach, Illinois. You can reach out to her office (for appointments etc.) via phone at (224) 634-1558.

Sharice Ellenwood is licensed to practice in * (Not Available) (license number ) 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 1225637614.

Contact Information

	Sharice Ellenwood,
	1087 N Village Dr, Round Lake Beach, IL 60073
	(224) 634-1558
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sharice Ellenwood
Gender	Female
Speciality	Counselor - Professional
Location	1087 N Village Dr, Round Lake Beach, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225637614
Provider Enumeration Date: 10/18/2020
Last Update Date: 10/18/2020

Medicare PECOS Information:

PECOS PAC ID: 5698111532
Enrollment ID: I20240313003011

Medical Identifiers

Medical identifiers for Sharice Ellenwood such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225637614	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(* (Not Available))	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. Sharice Ellenwood allows following entities to bill medicare on her behalf.

Entity Name	Affective Counseling Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811400187 PECOS PAC ID: 5991158347 Enrollment ID: O20240201001402

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. Sharice Ellenwood 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
Sharice Ellenwood, 1087 N Village Dr, Round Lake Beach, IL 60073-2493 Ph: () -	Sharice Ellenwood, 1087 N Village Dr, Round Lake Beach, IL 60073 Ph: (224) 634-1558

Reviews and Comments

Counselor in Round Lake Beach, IL

Mrs. Amy Renee Stewart Baker, M.A., L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2213 N Sunrise Dr, Round Lake Beach, IL 60073 Phone: 847-223-2561
Kathryn Bush, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2550 N Lancaster Ln, Round Lake Beach, IL 60073 Phone: 847-356-6444
Ana Marie Navarrete, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1510 N Cedar Lake Rd, Round Lake Beach, IL 60073 Phone: 847-505-9897

Sharice Ellenwood, - Medicare Counselor in Round Lake Beach, IL