Cheryl Ellis, PSYD in Bloomfield, CT - Medicare Psychologist Provider

Cheryl Ellis, PSYD is a medicare enrolled "Psychologist" provider in Bloomfield, Connecticut. Her current practice location is 11 Mountain Ave, Suite 204, Bloomfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 726-9457.

Cheryl Ellis is licensed to practice in Connecticut (license number 002512) 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 1265548895.

Contact Information

	Cheryl Ellis, PSYD
	11 Mountain Ave, Suite 204, Bloomfield, CT 06002-2343
	(860) 726-9457
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Cheryl Ellis
Gender	Female
Speciality	Psychologist
Location	11 Mountain Ave, Bloomfield, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265548895
Provider Enumeration Date: 08/23/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6608846910
Enrollment ID: I20040726001180

Medical Identifiers

Medical identifiers for Cheryl Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265548895	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	002512 (Connecticut)	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. Cheryl Ellis allows following entities to bill medicare on her behalf.

Entity Name	State Of Connecticut
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841225489 PECOS PAC ID: 8022915677 Enrollment ID: O20040319000427

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. Cheryl Ellis 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
Cheryl Ellis, PSYD 2 Silo Way, Bloomfield, CT 06002-1651 Ph: (860) 242-3640	Cheryl Ellis, PSYD 11 Mountain Ave, Suite 204, Bloomfield, CT 06002-2343 Ph: (860) 726-9457

Reviews and Comments

Psychologist in Bloomfield, CT

Dr. Barbara J Tarkin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6 Northwestern Dr, Suite 306, Bloomfield, CT 06002 Phone: 860-242-3702 Fax: 860-242-1964
Dr. Wilbur Joseph Nelson Jr., PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3 Northwestern Dr, Bloomfield, CT 06002 Phone: 860-243-3477 Fax: 860-243-3224
Dr. Stacy David Bernstein, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 701 Cottage Grove Rd Ste F010, Bloomfield, CT 06002 Phone: 203-571-8344
Dr. Kevin J Connolly, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6 Northwestern Dr, Suite 306, Bloomfield, CT 06002 Phone: 860-242-3702 Fax: 860-242-1964
Dr. Coleen Dobo, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 11 Walts Hl, Bloomfield, CT 06002 Phone: 860-372-9437
Dr. Michele Krynski, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Regency Drive, #101, Bloomfield, CT 06002 Phone: 860-243-9301 Fax: 860-298-0888

Cheryl Ellis, PSYD - Medicare Psychologist in Bloomfield, CT