Mr Mark Dalton Ellis, LMSW in Twin Falls, ID - Medicare Social Worker Provider

Mr Mark Dalton Ellis, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Twin Falls, Idaho. His current practice location is 1418 Fillmore St, Twin Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 735-2237.

Mr Mark Dalton Ellis is licensed to practice in Idaho (license number LCSW-32484) 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 1336401710.

Contact Information

	Mr Mark Dalton Ellis, LMSW
	1418 Fillmore St, Twin Falls, ID 83301-3380
	(208) 735-2237
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Mark Dalton Ellis
Gender	Male
Speciality	Social Worker - Clinical
Location	1418 Fillmore St, Twin Falls, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336401710
Provider Enumeration Date: 06/12/2012
Last Update Date: 12/04/2013

Medicare PECOS Information:

PECOS PAC ID: 6709005598
Enrollment ID: I20140918000102

Medical Identifiers

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

Identifier	Type	State	Issuer
1336401710	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW-32484 (Idaho)	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 Mark Dalton Ellis allows following entities to bill medicare on his behalf.

Entity Name	Crosspointe Mental Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386914505 PECOS PAC ID: 8921257130 Enrollment ID: O20121003000722

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 Mark Dalton 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 Mark Dalton Ellis, LMSW 1418 Fillmore St, Twin Falls, ID 83301-3380 Ph: (208) 735-2237	Mr Mark Dalton Ellis, LMSW 1418 Fillmore St, Twin Falls, ID 83301-3380 Ph: (208) 735-2237

Reviews and Comments

Social Worker in Twin Falls, ID

Taylor Moyle, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 493 Eastland Dr, Twin Falls, ID 83301 Phone: 208-410-4866
Amy Allison Walker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 451 Eastland Dr, Twin Falls, ID 83301 Phone: 208-258-7681
Ms. Amanda Breaux Gray, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1940 Laura Cir, Twin Falls, ID 83301 Phone: 208-539-4900
Dr. Richard Brian Keene, PHD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 222 Shoshone St E, Twin Falls, ID 83301 Phone: 208-370-8288
Garrett J Sasse, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 208-814-1000
Larry Kirk Hazen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 260 2nd Ave E, Twin Falls, ID 83301 Phone: 208-732-0947
Cynthia Lynn Opdycke, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 647 Filer Ave, Twin Falls, ID 83301 Phone: 208-737-9999 Fax: 208-736-4400

Mr Mark Dalton Ellis, LMSW - Medicare Clinical Social Worker in Twin Falls, ID