Mr Jerome L Ellis, in Goldsboro, NC - Medicare Social Worker Provider

Mr Jerome L Ellis, is a medicare enrolled "Social Worker - Clinical" provider in Goldsboro, North Carolina. His current practice location is 1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 722-0928.

Mr Jerome L Ellis is licensed to practice in North Carolina (license number C004119) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023008638.

Contact Information

	Mr Jerome L Ellis,
	1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531-2310
	(919) 722-0928
	(919) 722-1952

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jerome L Ellis
Gender	Male
Speciality	Social Worker - Clinical
Location	1050 Jabarrah Ave, Goldsboro, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023008638
Provider Enumeration Date: 10/25/2005
Last Update Date: 01/22/2009

Medicare PECOS Information:

PECOS PAC ID: 5698735751
Enrollment ID: I20041013000459

Medical Identifiers

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

Identifier	Type	State	Issuer
1023008638	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C004119 (North Carolina)	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. Mr Jerome L Ellis allows following entities to bill medicare on his behalf.

Entity Name	Waynesboro Family Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760417570 PECOS PAC ID: 3274445903 Enrollment ID: O20031103000145

Entity Name	Goldsboro Counseling Center Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881651347 PECOS PAC ID: 5890747885 Enrollment ID: O20051207000150

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 Jerome L 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 Jerome L Ellis, 1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531-2310 Ph: (919) 722-0928	Mr Jerome L Ellis, 1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531-2310 Ph: (919) 722-0928

Reviews and Comments

Social Worker in Goldsboro, NC

Ms. Lakisha King, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1318 Wayne Memorial Dr, Suite A & B, Goldsboro, NC 27534 Phone: 919-734-0753
Comatha B Johnson, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1705 N Berkeley Blvd, Goldsboro, NC 27534 Phone: 919-751-0277 Fax: 919-751-0278
Pattie Lou Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1706 Wayne Memorial Dr, Goldsboro, NC 27534 Phone: 919-734-6676
Ms. Brianna Nicole Davis, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1606 Boyette Dr, Goldsboro, NC 27534 Phone: 919-394-3801
Mr. William Lowry Jr., Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 307 Beech St, Goldsboro, NC 27530 Phone: 919-731-2119
Sarah Beth Jackson, LCSWA Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1401 W Ash St, Goldsboro, NC 27530 Phone: 919-947-8448

Mr Jerome L Ellis, - Medicare Clinical Social Worker in Goldsboro, NC