Ellis Vernon Iii, LCSW in Hawthorne, CA - Medicare Clinical Social Worker Provider

Ellis Vernon Iii, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Hawthorne, California. He went to University Of Southern California Keck School Of Medicine and graduated in 2013 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Los Angeles County Department Of Mental Health and his current practice location is 2311 W. El Segundo Blvd, Hawthorne, California. You can reach out to his office (for appointments etc.) via phone at (323) 241-6733.

Ellis Vernon Iii is licensed to practice in California (license number LCSW82566) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700275625.

Contact Information

	Ellis Vernon Iii, LCSW
	2311 W. El Segundo Blvd, Hawthorne, CA 90250
	(323) 241-6733
	(323) 756-1163

Map and Direction

Healthcare Provider's Profile

Full Name	Ellis Vernon Iii
Gender	Male
Speciality	Clinical Social Worker
Experience	12 Years
Location	2311 W. El Segundo Blvd, Hawthorne, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ellis Vernon Iii attended and graduated from University Of Southern California Keck School Of Medicine in 2013

NPI Data:

NPI Number: 1700275625
Provider Enumeration Date: 01/15/2015
Last Update Date: 03/10/2021

Medicare PECOS Information:

PECOS PAC ID: 5193070456
Enrollment ID: I20180611001150

Medical Identifiers

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

Identifier	Type	State	Issuer
1700275625	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	ASW59508 (California)	Secondary
1041C0700X	Social Worker - Clinical	LCSW82566 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Los Angeles County Department Of Mental Health	7416869896	247

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. Ellis Vernon Iii allows following entities to bill medicare on his behalf.

Entity Name	Los Angeles County Department Of Mental Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083633929 PECOS PAC ID: 7416869896 Enrollment ID: O20031104000319

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. Ellis Vernon Iii 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
Ellis Vernon Iii, LCSW 2311 W. El Segundo Blvd, Hawthorne, CA 90250 Ph: (310) 756-3638	Ellis Vernon Iii, LCSW 2311 W. El Segundo Blvd, Hawthorne, CA 90250 Ph: (323) 241-6733

Reviews and Comments

Social Worker in Hawthorne, CA

Kimberly Gizelle Colbert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5155 W Rosecrans Ave Ste 100, Hawthorne, CA 90250 Phone: 310-678-6454
Mrs. Fany Stefanova Toshkov, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 13300 Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-679-3321 Fax: 310-676-4020
Brenda Mendez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2501 W El Segundo Blvd, Hawthorne, CA 90250 Phone: 323-754-2816
Dr. Marlon Young, PH.D, L.C.S.W, M.P.A Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2311 W El Segundo Blvd, Hawthorne, CA 90250 Phone: 323-241-6730
Mrs. Angela Leniece Body, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2509 W 115th St, Hawthorne, CA 90250 Phone: 323-895-0610
Mrs. Alka Bhatt Bhakta, L.C.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2311 W El Segundo Blvd, Hawthorne, CA 90250 Phone: 323-341-6733
Concepcion Gonzalez Ruggirello, M.S.W., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13620 Cordary Ave, Hawthorne, CA 90250 Phone: 310-970-1921 Fax: 310-970-1330

Ellis Vernon Iii, LCSW - Medicare Clinical Social Worker in Hawthorne, CA