Ellen Landrum, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Brooklin, Maine. Her current practice location is
267 Flye Point Rd, Brooklin, Maine. You can reach out to her office (for appointments etc.) via phone at
(305) 849-0646.
Ellen Landrum is licensed to practice in Massachusetts (license number 21960) 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 1922403666.
Healthcare Provider's Profile
Full Name | Ellen Landrum |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 267 Flye Point Rd, Brooklin, Maine |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922403666
- Provider Enumeration Date: 10/23/2014
- Last Update Date: 02/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 2860809134
- Enrollment ID: I20210402000860
Medical Identifiers
Medical identifiers for Ellen Landrum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922403666 | NPI | - | NPPES |
21960 | Other | MA | MASSACHUSETTS DIVISION OF PROFESSIONAL LICENSURE |
LC18429 | Other | ME | STATE OF MAINE DEPT OF PROFESSIONAL AND FINANCIAL REGULATION |
2584582 | Other | MA | DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 21960 (Massachusetts) | 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. Ellen Landrum allows following entities to bill medicare on her behalf.
Entity Name | Health Affiliates Maine, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932413556 PECOS PAC ID: 1951594076 Enrollment ID: O20101021000912 |
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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. Ellen Landrum 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 |
Ellen Landrum, LCSW 267 Flye Point Rd, Brooklin, ME 04616-3225 Ph: (305) 849-0646 | Ellen Landrum, LCSW 267 Flye Point Rd, Brooklin, ME 04616-3225 Ph: (305) 849-0646 |
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