Sharice Ellenwood, is a medicare enrolled "Counselor - Professional" provider in Round Lake Beach, Illinois. She graduated from healthcare school in 2019 and has 6 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Affective Counseling Inc and 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
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1225637614.
Healthcare Provider's Profile
| Full Name | Sharice Ellenwood |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 6 Years |
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| Location | 1087 N Village Dr, Round Lake Beach, Illinois |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Sharice Ellenwood graduated from medical school in 2019
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 |
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| 1225637614 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Affective Counseling Inc | 5991158347 | 4 |
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 |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811400187
PECOS PAC ID: 5991158347
Enrollment ID: O20240201001402 |
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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 |
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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 |
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