Jeffrey Hugh Ellison, BS in Gastonia, NC - Medicare Psychologist Provider

Jeffrey Hugh Ellison, BS is a medicare enrolled "Psychologist - Clinical" provider in Gastonia, North Carolina. His current practice location is 409 S Oakland St, Gastonia, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 874-9005.

Jeffrey Hugh Ellison is licensed to practice in North Carolina (license number 4890) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649559873.

Contact Information

	Jeffrey Hugh Ellison, BS
	409 S Oakland St, Gastonia, NC 28052-4312
	(704) 874-9005
	(704) 874-9001

Map and Direction

Healthcare Provider's Profile

Full Name	Jeffrey Hugh Ellison
Gender	Male
Speciality	Psychologist - Clinical
Location	409 S Oakland St, Gastonia, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649559873
Provider Enumeration Date: 08/05/2011
Last Update Date: 10/16/2019

Medicare PECOS Information:

PECOS PAC ID: 6507086394
Enrollment ID: I20160120001493

Medical Identifiers

Medical identifiers for Jeffrey Hugh Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649559873	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	4890 (North Carolina)	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. Jeffrey Hugh Ellison allows following entities to bill medicare on his behalf.

Entity Name	Gaston Family Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215932215 PECOS PAC ID: 5496733925 Enrollment ID: O20040712000470

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. Jeffrey Hugh Ellison 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
Jeffrey Hugh Ellison, BS 200 E 2nd Ave, Gastonia, NC 28052-4358 Ph: (704) 874-1904	Jeffrey Hugh Ellison, BS 409 S Oakland St, Gastonia, NC 28052-4312 Ph: (704) 874-9005

Reviews and Comments

Psychologist in Gastonia, NC

Dr. William Hugh Varley, PH D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1530 Union Rd, Ste A, Gastonia, NC 28054 Phone: 704-861-0271 Fax: 704-861-0374
Mr. Edward E Hughes, LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1307 Union Rd Ste 105, Gastonia, NC 28054 Phone: 704-879-9273 Fax: 562-286-5236
Ms. Adrienne B Perkins, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 911 N Boyce St, Gastonia, NC 28052 Phone: 704-466-8779
Dr. James William Locke Iii, PSY D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 609 S New Hope Rd, Suite 103, Gastonia, NC 28054 Phone: 704-865-5613 Fax: 704-865-5614
Dr. Lyssa Marie Israel, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 549 Cox Rd, Gastonia, NC 28054 Phone: 704-852-3778 Fax: 704-853-8751
Dr. Walter H Mcnulty, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1008 Union Rd Ste C, Gastonia, NC 28054 Phone: 704-716-1006
Ms. Elizabeth Anne Holden, LPA, HSP-PA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 175 W Franklin Blvd, Gastonia, NC 28052 Phone: 704-865-3529 Fax: 704-865-3510

Jeffrey Hugh Ellison, BS - Medicare Psychologist in Gastonia, NC