Jennifer Charlotte Ellwood, LCSW in Lafayette, IN - Medicare Social Worker Provider

Jennifer Charlotte Ellwood, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lafayette, Indiana. Her current practice location is 1116 N 16th St, Lafayette, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 423-6300.

Jennifer Charlotte Ellwood is licensed to practice in Indiana (license number 3400529A) 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 1134378565.

Contact Information

	Jennifer Charlotte Ellwood, LCSW
	1116 N 16th St, Lafayette, IN 47904-2119
	(765) 423-6300
	(765) 423-6301

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Charlotte Ellwood
Gender	Female
Speciality	Social Worker - Clinical
Location	1116 N 16th St, Lafayette, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134378565
Provider Enumeration Date: 09/10/2008
Last Update Date: 12/01/2023

Medicare PECOS Information:

PECOS PAC ID: 5193174613
Enrollment ID: I20231209000270

Medical Identifiers

Medical identifiers for Jennifer Charlotte Ellwood such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134378565	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	3400529A (Indiana)	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. Jennifer Charlotte Ellwood allows following entities to bill medicare on her behalf.

Entity Name	Franciscan Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486

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. Jennifer Charlotte Ellwood 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
Jennifer Charlotte Ellwood, LCSW Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800	Jennifer Charlotte Ellwood, LCSW 1116 N 16th St, Lafayette, IN 47904-2119 Ph: (765) 423-6300

Reviews and Comments

Social Worker in Lafayette, IN

Carol F Cook, LCSW,MSW,ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3660 Rome Dr, Lafayette, IN 47905 Phone: 765-446-9394 Fax: 765-447-8875
Mr. Randall Alan Pickering, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1116 N 16th St, Lafayette, IN 47904 Phone: 765-423-6300 Fax: 765-423-6301
Soledad Kardinsmith, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 Farabee Dr N, Suite C, Lafayette, IN 47905 Phone: 765-588-7763 Fax: 765-423-5600
Tasha Denise Snyder, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1716 Hartford St, Lafayette, IN 47904 Phone: 765-742-1567 Fax: 765-742-2750
Delthea J Hill, PHD Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 427 N 6th St, Lafayette, IN 47901 Phone: 765-420-0938 Fax: 765-420-8218
Karen Edwards, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 610 Main St, Lafayette, IN 47901 Phone: 765-423-2638
Ms. Theresa Anne Slayton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 656a N 36th St, Lafayette, IN 47905 Phone: 765-449-1759 Fax: 765-449-1769

Jennifer Charlotte Ellwood, LCSW - Medicare Clinical Social Worker in Lafayette, IN