Sue Carol Ellis, SLP is a medicare enrolled "Speech-language Pathologist" provider in Connersville, Indiana. She graduated from medical school in 1999 and has 27 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. Her current practice location is
1941 Virginia Ave, Connersville, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 827-7964.
Sue Carol Ellis is licensed to practice in Indiana (license number 22008888A) 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 1215136643.
Healthcare Provider's Profile
| Full Name | Sue Carol Ellis |
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| Gender | Female |
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| Speciality | Qualified Speech Language Pathologist |
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| Experience | 27 Years |
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| Location | 1941 Virginia Ave, Connersville, Indiana |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Sue Carol Ellis graduated from medical school in 1999
NPI Data:
- NPI Number: 1215136643
- Provider Enumeration Date: 07/16/2007
- Last Update Date: 10/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 7517443906
- Enrollment ID: I20260115002780
Medical Identifiers
Medical identifiers for Sue Carol Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215136643 | NPI | - | NPPES |
| 12500849 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 139767 (Kentucky) | Secondary |
| 235Z00000X | Speech-language Pathologist | KY-2447 (Kentucky) | Secondary |
| 235Z00000X | Speech-language Pathologist | 22008888A (Indiana) | Primary |
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. Sue Carol 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 |
|---|
Sue Carol Ellis, SLP
1941 Virginia Ave,
Connersville, IN 47331-2879
Ph: (765) 827-7964 | Sue Carol Ellis, SLP
1941 Virginia Ave,
Connersville, IN 47331-2879
Ph: (765) 827-7964 |
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