Mrs Claire Ellerbrock, APRN in Mansfield Center, CT

Mrs Claire Ellerbrock, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mansfield Center, Connecticut. Her current practice location is 189 Storrs Rd, Mansfield Center, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 456-1311.

Mrs Claire Ellerbrock is licensed to practice in Ohio (license number APRN.CNP.022357) 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 1669995544.

Contact Information

	Mrs Claire Ellerbrock, APRN
	189 Storrs Rd, Mansfield Center, CT 06250-1683
	(860) 456-1311
	(860) 450-0165

Map and Direction

Provider's Profile

Full Name	Mrs Claire Ellerbrock
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	189 Storrs Rd, Mansfield Center, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669995544
Provider Enumeration Date: 07/21/2017
Last Update Date: 07/25/2021

Medicare PECOS Information:

PECOS PAC ID: 0042573412
Enrollment ID: I20220131002000

Medical Identifiers

Medical identifiers for Mrs Claire Ellerbrock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669995544	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0809X	Registered Nurse - Psychiatric/mental Health, Adult	416083 (Ohio)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	7967 (Connecticut)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN.CNP.022357 (Ohio)	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. Mrs Claire Ellerbrock allows following entities to bill medicare on her behalf.

Entity Name	Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699701375 PECOS PAC ID: 7810089414 Enrollment ID: O20160330000840

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. Mrs Claire Ellerbrock 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
Mrs Claire Ellerbrock, APRN 6929 W 130th St Ste 307, Parma Heights, OH 44130-7822 Ph: (440) 887-1100	Mrs Claire Ellerbrock, APRN 189 Storrs Rd, Mansfield Center, CT 06250-1683 Ph: (860) 456-1311

Reviews and Comments

Nurse Practitioner Nurses in Mansfield Center, CT

Mr. Michael A. Rivera, L.C.S.W. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27 Patriots Sq, Mansfield Center, CT 06250 Phone: 860-752-4249
Elizabeth C Alve-hedegaard, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7 Ledgebrook Dr Unit B, Mansfield Center, CT 06250 Phone: 860-456-0038 Fax: 860-456-8765
Katie Marie Feeney, MSN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 189 Storrs Rd, Mansfield Center, CT 06250 Phone: 860-456-1311 Fax: 860-450-0165
Jane Neu, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Ledgebrook Dr Ste A, Mansfield Center, CT 06250 Phone: 860-456-1485 Fax: 860-423-1589
Marie Chantal Joassaint, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 189 Storrs Rd, Mansfield Center, CT 06250 Phone: 860-456-1311
Mary Wattick Sutterfield, APRN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12a Ledgebrook Dr, Mansfield Center, CT 06250 Phone: 860-423-2960
Mr. Dylan Ross Williams, RN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 189 Storrs Rd, Mansfield Center, CT 06250 Phone: 203-214-6636

Mrs Claire Ellerbrock, APRN - Medicare Nurse Practitioner in Mansfield Center, CT