Ellington Behavioral Health - Medicare Primary Care in Ellington, CT

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Ellington Behavioral Health is a medicare enrolled primary clinic (Psychiatry & Neurology - Psychiatry) in Ellington, Connecticut. The current practice location for Ellington Behavioral Health is 105 West Rd, Ellington, Connecticut. For appointments, you can reach them via phone at (860) 871-5402. The mailing address for Ellington Behavioral Health is 105 West Rd, Ellington, Connecticut and phone number is (860) 871-5402.

Ellington Behavioral Health is licensed to practice in Connecticut (license number 043112). The clinic also participates in the medicare program and its NPI number is 1871744243. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (860) 871-5402.

Contact Information

Ellington Behavioral Health
105 West Rd
Ellington
CT 06029-5700
(860) 871-5402
(860) 871-5413

Map and Direction


Primary Care Clinic Profile

Full NameEllington Behavioral Health
SpecialityPsychiatry & Neurology
Location105 West Rd, Ellington, Connecticut
Authorized Official Name and PositionErum Shahab (OWNER)
Authorized Official Contact8608715402
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ellington Behavioral Health
105 West Rd
Ellington
CT 06029-4247

Ph: (860) 871-5402		Ellington Behavioral Health
105 West Rd
Ellington
CT 06029-5700

Ph: (860) 871-5402

NPI Details:

NPI Number1871744243
Provider Enumeration Date10/03/2008
Last Update Date02/24/2015

Medicare PECOS Information:

Medicare PECOS PAC ID4183782360
Medicare Enrollment IDO20081016000105

Medical Identifiers

Medical identifiers for Ellington Behavioral Health such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871744243NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center 043112 (Connecticut)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 043112 (Connecticut)Primary
2084P0802XPsychiatry & Neurology - Addiction Psychiatry 043112 (Connecticut)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ellington Behavioral Health acts as a billing entity for following providers:
Provider NameErum Shahab
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1669434049
PECOS PAC ID: 8527069194
Enrollment ID: I20070530000179
Provider NameViktoriya Stork
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891278529
PECOS PAC ID: 5597019224
Enrollment ID: I20181116000625
Provider NameWesley Langlais
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1316802002
PECOS PAC ID: 4082195268
Enrollment ID: I20260225003023

Reviews and Comments

Other Primary Care Clinics in Ellington, CT

Mi'bella Wellness Clinic, PLLC
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 182 Tripp Rd, Ellington, CT 06029
Phone: 413-351-1525    Fax: 860-893-0232

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.