Ms Diane Ellaborn, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Prospect Harbor, Maine. She graduated from medical school in 1979 and has 45 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
173 Main Street, Prospect Harbor, Maine. You can reach out to her office (for appointments etc.) via phone at
(508) 361-1751.
Ms Diane Ellaborn is licensed to practice in Massachusetts (license number LICSW104732) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124109459.
Healthcare Provider's Profile
| Full Name | Ms Diane Ellaborn |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Social Worker |
|---|
| Experience | 45 Years |
|---|
| Location | 173 Main Street, Prospect Harbor, Maine |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Ms Diane Ellaborn graduated from medical school in 1979
NPI Data:
- NPI Number: 1124109459
- Provider Enumeration Date: 10/17/2006
- Last Update Date: 09/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 7719912401
- Enrollment ID: I20120201000703
Medical Identifiers
Medical identifiers for Ms Diane Ellaborn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124109459 | NPI | - | NPPES |
| 000000031285 | Medicaid | MA | |
| 304462 | Other | MA | MAGELLAN |
| 140670 | Other | MA | VALUE OPTIONS |
| P03867 | Other | MA | BCBS |
| 1012390 | Other | | BEACON |
| 1890352 | Medicaid | MA | |
| 118190 | Other | MA | BHN |
| 6200635 | Other | MA | UBH |
| 767846 | Other | MA | TUFTS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 104732 (Massachusetts) | Secondary |
| 1041C0700X | Social Worker - Clinical | LICSW104732 (Massachusetts) | Primary |
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. Ms Diane Ellaborn 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 |
|---|
Ms Diane Ellaborn, MSW, LICSW
P.o. Box 67, 173 Main Street,
Prospect Harbor, ME 04669-0067
Ph: (508) 361-1751 | Ms Diane Ellaborn, MSW, LICSW
173 Main Street,
Prospect Harbor, ME 04669-0067
Ph: (508) 361-1751 |
Reviews and Comments