Veronica M Ellingworth, MS, LPC, SAC, ICS in Stoughton, WI - Medicare Mental Health Counselor Provider

Veronica M Ellingworth, MS, LPC, SAC, ICS is a medicare enrolled "Counselor - Mental Health" provider in Stoughton, Wisconsin. She graduated from healthcare school in 2013 and has 12 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Velvaere Mental Health Clinic, Llc and her current practice location is 100 Business Park Cir Ste 202, Stoughton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 695-0960.

Veronica M Ellingworth is licensed to practice in Wisconsin (license number 6410-125) 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 1528577152.

Contact Information

	Veronica M Ellingworth, MS, LPC, SAC, ICS
	100 Business Park Cir Ste 202, Stoughton, WI 53589-5501
	(608) 695-0960
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Veronica M Ellingworth
Gender	Female
Speciality	Mental Health Counselor
Experience	12 Years
Location	100 Business Park Cir Ste 202, Stoughton, Wisconsin
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Veronica M Ellingworth graduated from medical school in 2013

NPI Data:

NPI Number: 1528577152
Provider Enumeration Date: 09/26/2017
Last Update Date: 04/02/2024

Medicare PECOS Information:

PECOS PAC ID: 7416397344
Enrollment ID: I20240425002866

Medical Identifiers

Medical identifiers for Veronica M Ellingworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528577152	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	6410-125 (Wisconsin)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	16161-131 (Wisconsin)	Secondary
101YP2500X	Counselor - Professional	6410-125 (Wisconsin)	Secondary
101YM0800X	Counselor - Mental Health	6410-125 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Velvaere Mental Health Clinic, Llc	1456893403	2

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. Veronica M Ellingworth allows following entities to bill medicare on her behalf.

Entity Name	Velvaere Mental Health Clinic, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770346702 PECOS PAC ID: 1456893403 Enrollment ID: O20240606001074

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. Veronica M Ellingworth 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
Veronica M Ellingworth, MS, LPC, SAC, ICS 204 E Hubert St, Edgerton, WI 53534-1318 Ph: (608) 695-0960	Veronica M Ellingworth, MS, LPC, SAC, ICS 100 Business Park Cir Ste 202, Stoughton, WI 53589-5501 Ph: (608) 695-0960

Reviews and Comments

Counselor in Stoughton, WI

Krystal Lee Webb, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3185 Deer Point Dr Ste A, Stoughton, WI 53589 Phone: 920-723-3994
Jennifer Betters-bubon, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 E Prospect St, Stoughton, WI 53589 Phone: 608-347-1367
Ms. Jean A Daute, MS LPC CSAC ICS MAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 135 W Main St, Suite 207, Stoughton, WI 53589 Phone: 608-873-7838 Fax: 877-674-2177
Carmen Sperle, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 3436 County Road A, Stoughton, WI 53589 Phone: 608-215-2018
Gabrielle Elise Montana, LPC, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3185 Deer Point Dr Ste A, Stoughton, WI 53589 Phone: 608-873-7838
Jeani M Oppeneer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 N Madison St, Stoughton, WI 53589 Phone: 608-235-9625

Veronica M Ellingworth, MS, LPC, SAC, ICS - Medicare Counselor in Stoughton, WI