Mr Charles Ellis, LCSW-C in Riverside, CA - Medicare Clinical Social Worker Provider

Mr Charles Ellis, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in Riverside, California. He graduated from medical school in 1993 and has 32 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Total Health Care Inc and his current practice location is 4164 Brockton Ave, Riverside, California. You can reach out to his office (for appointments etc.) via phone at (951) 683-5193.

Mr Charles Ellis is licensed to practice in California (license number LCS 19143) 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 1215017009.

Contact Information

	Mr Charles Ellis, LCSW-C
	4164 Brockton Ave, Riverside, CA 92501-3400
	(951) 683-5193
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Charles Ellis
Gender	Male
Speciality	Clinical Social Worker
Experience	32 Years
Location	4164 Brockton Ave, Riverside, 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:

Mr Charles Ellis graduated from medical school in 1993

NPI Data:

NPI Number: 1215017009
Provider Enumeration Date: 10/16/2006
Last Update Date: 10/09/2024

Medicare PECOS Information:

PECOS PAC ID: 8325341860
Enrollment ID: I20211220001858

Medical Identifiers

Medical identifiers for Mr Charles Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215017009	NPI	-	NPPES
1982975009	Medicaid	NV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	5980-C (Nevada)	Secondary
1041C0700X	Social Worker - Clinical	26960 (Maryland)	Secondary
1041C0700X	Social Worker - Clinical	LCS 19143 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Total Health Care Inc	0446258487	50

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. Mr Charles Ellis allows following entities to bill medicare on his behalf.

Entity Name	Total Health Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972597425 PECOS PAC ID: 0446258487 Enrollment ID: O20071107000802

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. Mr Charles 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
Mr Charles Ellis, LCSW-C 4164 Brockton Ave, Riverside, CA 92501-3400 Ph: (951) 683-5193	Mr Charles Ellis, LCSW-C 4164 Brockton Ave, Riverside, CA 92501-3400 Ph: (951) 683-5193

Reviews and Comments

Social Worker in Riverside, CA

Mrs. Jacqueline S Ashley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7140 Indiana Ave, Riverside, CA 92504 Phone: 951-358-6000
Cristina Flores Hubb, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5870 Arlington Ave, Riverside, CA 92504 Phone: 951-683-6596
Jessica Elizabeth Wilinski, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2085 Rustin Ave Bldg 4, Riverside, CA 92507 Phone: 951-955-8000
Lisa Stokes, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4996 La Sierra Ave, Riverside, CA 92505 Phone: 951-525-3752
Deren Leland Mikels, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5015 Canyon Crest Dr, Suite 102, Riverside, CA 92507 Phone: 951-529-3692 Fax: 951-346-3780
Mr. Christopher John Hanlon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2085 Rustin Ave # 4, Riverside, CA 92507 Phone: 951-955-8000
Mrs. Kristin Jean Miller, M.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2085 Rustin Ave, Riverside, CA 92507 Phone: 951-715-5040 Fax: 951-784-4976

Mr Charles Ellis, LCSW-C - Medicare Clinical Social Worker in Riverside, CA